NPIMap

Organization Active NPI

Westminster Village West Lafayette, Inc

  • Skilled Nursing Facility
  • West Lafayette, IN
National Provider Identifier
1497740633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050000931 Issued in IN
Legal business name
WESTMINSTER VILLAGE WEST LAFAYETTE, INC
Practice address
2741 N Salisbury St
West Lafayette, IN 47906-1431
Phone
(765) 463-7546
Fax
(765) 463-6846
NPI assigned
Sep 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Judy Bane
Title
Health Care Administrator
Phone
(765) 463-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 050000931 IN Primary

Addresses

Primary practice location

2741 N Salisbury St
West Lafayette, IN 47906-1431

Mailing address

2741 N Salisbury St
West Lafayette, IN 47906-1431
Phone (765) 463-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110222000941 IN Part A Provider - Skilled Nursing Facility 9537065743 Practice locations: West Lafayette, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497740633. Details of each certification follow.

Skilled nursing facility certification: CCN 155177

Legal name
WESTMINSTER VILLAGE WEST LAFAYETTE, INC
Doing business as
WESTMINSTER VILLAGE WEST LAFAYETTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 1, 1979
Last certification
Feb 25, 2025
Beds
184 (72 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
2741 N Salisbury St
West Lafayette, IN 47906-1431
Nursing home name
WESTMINSTER VILLAGE - WEST LAFAYETTE
Affiliated entity
LIFE CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westminster Village - West LafayetteCCN 155177 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7264.8 residents per day on average
Chain
Life Care Services43 facilities in the chain
Penalties (3 years)
1Fines totaling $72,545

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Branch Banking & Trust Company Organization, Atlanta, GA Financial institution 5% Or Greater Mortgage Interest Jun 21, 2021 31%
Benjamin J Blankenship Individual Operational/Managerial ControlExecutive Director Jan 18, 2019
Anna M. Wilson Individual Corporate OfficerBoard Member Jul 1, 2022
Don Gentry Individual Corporate DirectorBoard Member Dec 1, 2021
Agnes Sullivan Individual Corporate OfficerBoard Member Jul 1, 2023
Marianne Rose Individual Corporate OfficerVice President Aug 1, 2020
Corporate DirectorBoard Member Aug 1, 2020
Jane a Smith Individual Corporate OfficerSecretary Jul 1, 2020
Corporate DirectorBoard Member Jul 13, 2018
John M Thomas Individual Operational/Managerial Control Dec 8, 2022
Adp of the SNF May 15, 2025
William Li Individual Operational/Managerial Control Dec 8, 2022
Adp of the SNF May 12, 2025
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2021
Adp of the SNF Apr 21, 2025
Marcella M Tashjian Gibbs Individual Corporate OfficerBoard Member Jul 1, 2023
Stephanie Long Individual Corporate OfficerBoard Member Jul 1, 2023
Kristin Patz Individual Operational/Managerial Control Feb 24, 2025
Adp of the SNF May 12, 2025
Brad L Deno Individual Corporate OfficerTreasurer Jul 1, 2016
Corporate DirectorBoard Member Jul 1, 2016
Keven W Dodt Individual Operational/Managerial Control Dec 8, 2022
Adp of the SNF May 12, 2025
Westminster Village West Lafayette, Inc Organization, West Lafayette, IN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 23, 2011 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 57

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 57

Practitioners & affiliated clinicians

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497740633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 N SALISBURY ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061431",
            "telephone_number": "765-463-7546",
            "fax_number": "765-463-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 N SALISBURY ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061431",
            "telephone_number": "765-463-7546",
            "fax_number": "765-463-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER VILLAGE WEST LAFAYETTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "HEALTH CARE ADMINISTRATOR",
        "authorized_official_telephone_number": "765-463-7546",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "050000931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.