Organization Active NPI

Riverview Hospital

Doing business as Arbor Trace Health & Living Community

  • Skilled Nursing Facility
  • Richmond, IN
National Provider Identifier
1639156706
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050004551 Issued in IN
Legal business name
RIVERVIEW HOSPITAL
Doing business as
Arbor Trace Health & Living Community
Practice address
3701 Hodgin Rd
Richmond, IN 47374-7443
Phone
(765) 939-3701
Fax
(765) 965-3895
NPI assigned
Dec 29, 2005
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Stephen G. Moore, MDNPI 1073815882
Title
President/Ceo
Phone
(812) 332-2265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 050004551 IN Primary

Addresses

Primary practice location

3701 Hodgin Rd
Richmond, IN 47374-7443

Mailing address

2749 E Covenanter Dr
Bloomington, IN 47401-5454
Phone (812) 332-2265

Other identifiers 1

IdentifierTypeStateIssuer
100291010BMedicaidIN

Other names 1

  • Arbor Trace Health & Living Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120106000801 IN Part A Provider - Skilled Nursing Facility 1153216627 Practice locations: Richmond, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639156706. Details of each certification follow.

Skilled nursing facility certification: CCN 155481

Legal name
RIVERVIEW HOSPITAL
Doing business as
ARBOR TRACE HEALTH & LIVING COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 29, 1993
Last certification
May 15, 2024
Beds
161 (101 certified)
Ownership / control type
Corporation
Multi-facility organization
Riverview Hospital
Organization structure
GovernmentNon-profit
Enrollment address
3701 Hodgin Rd
Richmond, IN 47374-7443
Nursing home name
ARBOR TRACE HEALTH & LIVING COMMUNITY
Affiliated entity
CARDON & ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arbor Trace Health & Living CommunityCCN 155481 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 29, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10196.9 residents per day on average
Chain
Cardon & Associates19 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0360434Riverview Hospital Dba Arbor Trace3701 Hodgin Road, Richmond, IN 47374Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
DRS Terpstra Smith BL35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Ownership & related parties

All disclosed owners & managing parties 39

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

NameRoleSinceShare
Amy Haug Individual Operational/Managerial Control Jan 4, 2022
Managing Control - Governing BodyChief Human Resources Officer Jan 4, 2022
Adp of the SNF Jan 4, 2022
Thomas McClelland Individual Operational/Managerial Control Dec 26, 2021
Managing Control - Governing BodyVice President and Cto Dec 26, 2021
Adp of the SNF Dec 26, 2021
Ankura Consulting Group LLC Organization, New York, NY LLC, Consulting firm Adp of the SNF Jun 15, 2022
Eric McIntosh Individual Operational/Managerial Control Oct 31, 2021
Adp of the SNF Oct 31, 2021
Moore Operating Group Inc Organization, Bloomington, IN Corporation, Holding company Operational/Managerial Control May 18, 2020
Cole Marketing Communications Inc Organization, Carmel, IN Consulting firm Adp of the SNF Apr 1, 2015
Riverview Hospital Organization, Richmond, IN 5% Or Greater Direct Ownership Interest Dec 1, 2011 100%
David W Hyatt Individual Corporate OfficerPresident/Ceo Mar 29, 2023
Operational/Managerial Control Mar 27, 2023
Zachary Cattell Individual Operational/Managerial Control Apr 25, 2022
Managing Control - Governing BodyChief Executive Officer Apr 25, 2022
Adp of the SNF Apr 25, 2021
Healthdrive Podiatry Group PA Organization, Wellesley, MA Medical provider/supplier Adp of the SNF Mar 7, 2019
Arbor Trace H&L Property LLC Organization, Bloomington, IN LLC Adp of the SNF Mar 17, 2006
Vox Global LLC Organization, Indianapolis, IN LLC, Consulting firm Adp of the SNF Feb 28, 2019
Cardon Management Company LLC Organization, Bloomington, IN LLC, Management services company, Consulting firm Operational/Managerial Control Dec 1, 2011 100%
Adp of the SNF Jul 8, 2025
Vium Capital LLC Organization, Columbus, OH LLC, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest May 1, 2021
Adp of the SNF Jun 19, 2025
Moser Consulting Incorporated Organization, Indianapolis, IN Consulting firm Adp of the SNF Apr 1, 2020
Mobile Audiology Associates PC Organization, Wellesley, MA Medical provider/supplier Adp of the SNF Mar 7, 2019
Organization, Overland Park, KS Medical provider/supplier Adp of the SNF Jun 19, 2025
Cardon and Associates Inc Organization, Bloomington, IN Corporation, Management services company Operational/Managerial Control Aug 23, 2013
Adp of the SNF Jun 19, 2025
Lateasa Tyler Individual Adp of the SNF May 1, 2021
Gregg Gormal Individual Operational/Managerial Control Oct 1, 2016
Managing Control - Governing BodyVice President of Coo Oct 1, 2016
Adp of the SNF Oct 1, 2016
Matthew D Balla Individual Operational/Managerial Control May 23, 2022
Managing Control - Governing BodyVice President of Pharmacy May 23, 2022
Adp of the SNF May 23, 2022
Jayna L Friend Individual Corporate OfficerController Jun 1, 2021
Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 3, 2021
Lacy Beyl & Company Inc Organization, Fishers, IN Corporation, Consulting firm Adp of the SNF Jul 15, 2015
Michelle Ross Individual Operational/Managerial Control Apr 11, 2019
Managing Control - Governing BodyAdministrator Apr 11, 2019
Adp of the SNF Apr 11, 2019
Respiratory Partners Inc Organization, Indianapolis, IN Corporation, Medical provider/supplier Adp of the SNF Nov 1, 2019
Lifespan Therapy LLC Organization, Bloomington, IN LLC, Medical provider/supplier Adp of the SNF Oct 25, 2007
Third Eye Health Inc Organization, Chicago, IL Corporation, Medical provider/supplier Adp of the SNF Feb 4, 2022
Leaann Renee Spencer Individual Managing Control - Governing BodyDirector of Clinical Services Jun 18, 2018
Adp of the SNF Jun 18, 2018
Ashly Brummett Individual Operational/Managerial Control Oct 9, 2021
Adp of the SNF Oct 9, 2021
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Jan 1, 2021
Kendra Fauth Individual Operational/Managerial Control Dec 26, 2021
Managing Control - Governing BodyVice President of Cgo Dec 26, 2021
Adp of the SNF Dec 26, 2021
Jeffrey L Morer OD PC Organization, Wellesley, MA Medical provider/supplier Adp of the SNF Mar 7, 2019
Saad a Hafidh Individual Operational/Managerial Control Jan 23, 2023
Adp of the SNF Jan 23, 2023
Bradley & Associates Inc Organization, Indianapolis, IN Consulting firm Adp of the SNF Jan 1, 2023
Lynn Lopossa Individual Operational/Managerial Control Dec 17, 2023
Managing Control - Governing BodyExecutive Director of Revenue Strat Dec 17, 2023
Adp of the SNF Dec 17, 2023
Jim Karner Individual Operational/Managerial Control Jun 18, 2012
Adp of the SNF Jun 18, 2012
Proactive Clinical Partners Organization, Indianapolis, IN Corporation, Medical provider/supplier Adp of the SNF Jan 1, 2020
Heart of Cardon LLC Organization, Bloomington, IN LLC, Consulting firm Adp of the SNF Sep 6, 2007
Med-Pass Incorporated Organization, Dayton, OH Corporation Adp of the SNF Sep 1, 2020

Owners & managing parties with NPI records 23

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

View all 23

All facility ownership & control disclosures 35

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension St Vincent Heart CenterCarmel, IN, CCN 150153 Hospital Other (2%) Apr 1, 2017
Riverview HealthNoblesville, IN, CCN 150059 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jul 1, 1966
Jul 1, 1966
Riverview HealthNoblesville, IN, CCN 15T059 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 1966
Jan 1, 1966
Carmel Health & Living CommunityCarmel, IN, CCN 155181 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011
Countryside Manor Health & Living CommunityAnderson, IN, CCN 155258 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011
Rawlins House Health & Living CommunityPendleton, IN, CCN 155357 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2011
Harbour Manor Health & Living CommunityNoblesville, IN, CCN 155381 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2011
Brown County Health & Living CommunityNashville, IN, CCN 155487 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Paoli Health & Living CommunityPaoli, IN, CCN 155333 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011
Rolling Meadows Health Care CenterLa Fontaine, IN, CCN 155551 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2012
Wesleyan Health Care CenterMarion, IN, CCN 155455 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2012
Parker Health and Rehabilitation CenterParker City, IN, CCN 155489 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2012
Bethel Pointe Health and RehabMuncie, IN, CCN 155546 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2012
Altenheim Health & Living CommunityIndianapolis, IN, CCN 155196 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2011
Ossian Health Care and Rehabilitation CenterOssian, IN, CCN 155335 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2012
Mason Health Care CenterWarsaw, IN, CCN 155003 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2012
Englewood Health & Rehabilitation CenterFort Wayne, IN, CCN 155654 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Albany Health Care & Rehabilitation CenterAlbany, IN, CCN 155432 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2012
Creekside Health and Rehabilitation CenterIndianapolis, IN, CCN 155628 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2017
Avon Health & Rehabilitation CenterAvon, IN, CCN 155236 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Colonial Oaks Health Care CenterMarion, IN, CCN 155289 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Homeview Center of FranklinFranklin, IN, CCN 155651 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Morristown ManorMorristown, IN, CCN 155691 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2012
Hamilton Pointe Health and RehabNewburgh, IN, CCN 155803 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2014
Ashton Creek Health and Rehabilitation CenterFort Wayne, IN, CCN 155798 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2014
Addison Pointe Health & Rehabilitation CenterChesterton, IN, CCN 155805 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2014
Aspen Trace Health & Living CommunityGreenwood, IN, CCN 155821 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Cumberland Trace Health & Living CommunityPlainfield, IN, CCN 155836 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
University Heights Health and Living CommunityIndianapolis, IN, CCN 155327 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2011
Copper Trace Health & Living CommunityWestfield, IN, CCN 155841 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Greenwood Health and Living CommunityGreenwood, IN, CCN 155412 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Bell Trace Health and Living CenterBloomington, IN, CCN 155677 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Lincoln Hills of New AlbanyNew Albany, IN, CCN 155614 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Suburban Home Health, LLCNoblesville, IN, CCN 157092 Home health agency 5% Or Greater Indirect Ownership Interest (30.82%) Sep 3, 2024
Suburban HospiceNoblesville, IN, CCN 151547 Hospice 5% Or Greater Indirect Ownership Interest (30.82%) Nov 1, 2024

Facilities with the same owner 38

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

View all 38

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1639156706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 E COVENANTER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015454",
            "telephone_number": "812-332-2265",
            "fax_number": "812-334-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 HODGIN RD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473747443",
            "telephone_number": "765-939-3701",
            "fax_number": "765-965-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "812-332-2265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "050004551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100291010B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Trace Health & Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.