Active NPI
The Health and Hospital Corporation of Marion County
Doing business as Prairie Village Nursing and Rehabilitation
- Skilled Nursing Facility
- Washington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
- Doing business as
- Prairie Village Nursing and Rehabilitation
- Practice address
- 801 S State Road 57
Washington, IN 47501 - Phone
- (812) 254-4516
- NPI assigned
- Aug 10, 2012
- Last updated
- Jun 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Van Camp, CPA
- Title
- Ceo of ASC
- Phone
- (317) 788-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
801 S State Road 57
Washington, IN 47501
Mailing address
801 S State Road 57
Washington, IN 47501-4373
Phone (812) 254-4516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100286510A | Medicaid | IN |
Other names 1
- Prairie Village Nursing and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150807015218 | IN | Part A Provider - Skilled Nursing Facility | 6709795974 | Practice locations: Washington, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1619224482. Details of each certification follow.
Skilled nursing facility certification: CCN 155461
- Legal name
- THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
- Doing business as
- PRAIRIE VILLAGE NURSING AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1992
- Last certification
- May 12, 2025
- Beds
- 65
- Ownership / control type
- City/County
- Multi-facility organization
- Health and Hosp. Corp Marion Co.
- Most recent change of ownership
- Jul 1, 2015
- Organization structure
- Government
- Enrollment address
- 801 S State Road 57
Washington, IN 47501-4373 - Nursing home name
- PRAIRIE VILLAGE NURSING AND REHABILITATION
- Affiliated entity
- AMERICAN SENIOR COMMUNITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Prairie Village Nursing and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City/county
- Certified
- Jul 1, 1992
- Medicare certification status
- Active
- Certified beds
- 65
- Chain
- American Senior Communities
National Provider Directory
National Provider Directory- Tax ID family
- Wishard Mem Hosp Pharma
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Marion County Health Department
- Public Health or Welfare Agency
- Indianapolis, IN
- NPI 1639273840
-
dba Wishard Health Services
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1558531293
-
dba Wishard Health Services
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619147824
-
dba Allisonville Meadows
- Skilled Nursing Facility
- Fishers, IN
- NPI 1518267830
-
dba Arbor Grove Village
- Skilled Nursing Facility
- Greensburg, IN
- NPI 1528055928
-
dba Coventry Meadows
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1538100839
-
dba Laurels of Dekalb
- Skilled Nursing Facility
- Butler, IN
- NPI 1538114848
-
dba Hillcrest Village
- Skilled Nursing Facility
- Jeffersonville, IN
- NPI 1538224381
-
dba Swiss Villa Nursing and Rehabilitation
- Skilled Nursing Facility
- Vevay, IN
- NPI 1548506363
-
dba Rosegate Commons
- Assisted Living Facility
- Indianapolis, IN
- NPI 1558436154
-
dba Eskenazi Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
dba Creekside Village
- Skilled Nursing Facility
- Mishawaka, IN
- NPI 1578809398
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba St Elizabeth Dearborn
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gary a Goodwin | Operational/Managerial Control | Jun 3, 2019 | |
| Geeta Mantravadi | Corporate Director | Jul 21, 2021 | |
| Carl L Drummer | Corporate Director | Jan 1, 2017 | |
| Lisa E Harris | Corporate Officer | Dec 22, 2003 | |
| Steven Van Camp | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Paul T Babcock | Corporate Officer | Sep 30, 2020 | |
| Mark Dice | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| The Health and Hospital Corporation of Marion County | 5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 100% |
| Monica Payne | Corporate Director | Aug 9, 2021 | |
| Thomas Hanify | Corporate Director | Jan 1, 2022 | |
| Kiran K Burla | Operational/Managerial Control | Oct 7, 2019 | |
| Adp of the SNF | Jun 15, 2026 | ||
| Brenda Horn | Corporate Director | Dec 1, 2023 | |
| American Senior Communities LLC | Operational/Managerial Control | Jul 1, 2015 | |
| Adp of the SNF | Jun 15, 2026 | ||
| Robert K O'Niones | Operational/Managerial Control | Jan 29, 2024 | |
| Adp of the SNF | Jun 15, 2026 | ||
| Robert W Lazard | Corporate Director | Jan 29, 2021 | |
| Virginia a Caine | Corporate Officer | Jan 10, 1994 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Washington, IN
- NPI 1922206127
Adp of the SNF, Operational/Managerial Control
-
- Infectious Disease Physician
- Indianapolis, IN
- NPI 1699720847
Corporate Officer
-
- Infectious Disease Physician
- Indianapolis, IN
- NPI 1538328992
Corporate Director
All facility ownership & control disclosures 73
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Eskenazi Health | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Eskenazi Health | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Riverview Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2003 Jan 1, 2003 |
| Franklin Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2003 |
| Spring Mill Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2003 Jan 1, 2003 |
| Rosewalk Village at Lafayette | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2003 Jan 1, 2003 |
| Forest Creek Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2003 |
| Heritage Park | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2003 |
| Monticello Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2003 |
| North Woods Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2003 Jan 1, 2003 |
| Beech Grove Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2003 |
| Rosewalk Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2003 Jan 1, 2003 |
| Riverwalk Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2003 |
| Zionsville Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Bethlehem Woods Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2003 |
| Cardinal Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2003 |
| Community Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2003 |
| North Capitol Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2003 |
| American Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2005 |
| Maple Park Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2006 |
| Riverside Village | Skilled nursing facility | Operational/Managerial Control Direct Ownership Interest (100%) |
Oct 1, 2006 Oct 1, 2006 |
| Edgewater Woods | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2006 |
| East Lake Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2007 |
| Valparaiso Care & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2009 |
| Columbia Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2007 |
| Westview Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Arbor Grove Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2008 |
| North Park Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2009 |
| Glenbrook Rehabilitation and Skilled Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2009 |
| Clark Rehabilitation and Skilled Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2009 |
| Coventry Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2009 |
| Brownsburg Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2009 |
| Meadow Lakes | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2009 |
| Washington Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2009 |
| Autumn Ridge Rehabilitation Centre | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2009 |
| Springhill Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2010 |
| Harrison Terrace | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2010 |
| Betz Nursing Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2010 |
| Summit City Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2011 |
| Harcourt Terrace Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2011 |
| Williamsport Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2011 |
| Rosegate Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 30, 2009 |
| Seymour Crossing | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 17, 2011 Oct 17, 2011 |
| West Bend Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2011 |
| Allisonville Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2011 |
| Clinton Gardens | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 17, 2011 |
| Salem Crossing | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 17, 2011 Oct 17, 2011 |
| The Timbers of Jasper | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 17, 2011 |
| Rosebud Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2012 Jan 1, 2012 |
| Avalon Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Greenwood Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2012 |
| Hillcrest Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| University Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 8, 2011 |
| Lowell Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 8, 2011 |
| Countryside Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2012 |
| Ben Hur Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2014 |
| Canterbury Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Willowdale Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Meadow View Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Elkhart Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Eastgate Manor Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Lake Pointe Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Springs Valley Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Danville Regional Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Mount Vernon Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Waters Edge Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Cypress Grove Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Park Terrace Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Swiss Villa Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Todd-Dickey Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Trailpoint Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Eskenazi Health Center North Arlington | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 2, 2005 |
| Eskenazi Health Center W 38TH Street | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 2, 2005 |
Facilities with the same owner 96
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Anew Home Health
- Home Health Agency
- Indianapolis, IN
- NPI 1003342882
American Senior Communities LLC
-
dba Anew Hospice FT. Wayne
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1902593882
American Senior Communities LLC
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1538540638
American Senior Communities LLC
-
dba Hickory Creek at Sunset
- Skilled Nursing Facility
- Greencastle, IN
- NPI 1659300440
American Senior Communities LLC
-
dba Hickory Creek at Connersville
- Skilled Nursing Facility
- Connersville, IN
- NPI 1013946979
American Senior Communities LLC
-
dba Hickory Creek at Scottsburg
- Skilled Nursing Facility
- Scottsburg, IN
- NPI 1033148820
American Senior Communities LLC
-
dba Hickory Creek at Franklin
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053340919
American Senior Communities LLC
-
dba Hickory Creek at Madison
- Skilled Nursing Facility
- Madison, IN
- NPI 1104855980
American Senior Communities LLC
-
dba Hickory Creek at Peru
- Skilled Nursing Facility
- Peru, IN
- NPI 1164451944
American Senior Communities LLC
-
dba Markle Health & Rehabilitation
- Skilled Nursing Facility
- Markle, IN
- NPI 1508866013
American Senior Communities LLC
-
dba Hickory Creek at Huntington
- Skilled Nursing Facility
- Huntington, IN
- NPI 1528097391
American Senior Communities LLC
-
dba Betz Nursing Home
- Skilled Nursing Facility
- Auburn, IN
- NPI 1538141379
American Senior Communities LLC, The Health and Hospital Corporation of Marion County
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1619224482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S STATE ROAD 57",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475014373",
"telephone_number": "812-254-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S STATE ROAD 57",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "47501",
"telephone_number": "812-254-4516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-10",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "VAN CAMP",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "CEO OF ASC",
"authorized_official_telephone_number": "317-788-2500",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100286510A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prairie Village Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prairie Village Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, IN
- Alayna C Summers, FNP
- Sutton Medical Services, LLC
- Larry W Sutton, DO
- Terre Haute Pulmonary & Pediatric Clinic, LLC (Washington Clinic)
- The Health and Hospital Corporation of Marion County (Eastgate Manor Nursing and Rehabilitation Center)
- Lori Ane Theroff
- Brooke Thompson
- Lydia Tomey
- Brandy Nicole Toney, OTR
- Jessica R Torres, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.