NPIMap

Organization Active NPI

Hancock Regional Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
National Provider Identifier
1669883252
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HANCOCK REGIONAL HOSPITAL
Practice address
5404 Georgetown Rd
Indianapolis, IN 46254-5500
Phone
(317) 291-5404
Fax
(317) 291-1180
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Steven V. Long
Title
President/Ceo
Phone
(317) 468-4412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5404 Georgetown Rd
Indianapolis, IN 46254-5500

Mailing address

5404 Georgetown Rd
Indianapolis, IN 46254-5500
Phone (317) 291-5404

Other names 1

  • Evergreen Crossing and the Lofts Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181228001900 IN Part A Provider - Skilled Nursing Facility 1850205162 Practice locations: Indianapolis, IN

Skilled nursing facility certification: CCN 155826

Legal name
HANCOCK REGIONAL HOSPITAL
Doing business as
EVERGREEN CROSSING AND THE LOFTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 11, 2014
Last certification
Feb 28, 2025
Beds
109
Ownership / control type
Corporation
Multi-facility organization
Communicare Family of Companies
Organization structure
OtherNon-profit
Enrollment address
5404 Georgetown Rd
Indianapolis, IN 46254-5500
Nursing home name
EVERGREEN CROSSING AND THE LOFTS
Affiliated entity
COMMUNICARE HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Greenfield Family Medic44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Roy L Wilson Individual Trustee of the SNF May 1, 2015
Lacey Willard Individual Trustee of the SNF Jul 1, 2022
Marwan Mustaklem Individual Operational/Managerial Control Jul 20, 2022
Adp of the SNF Jun 10, 2025
Omg in MSTR Lsco LLC Organization, Blue Ash, OH LLC Adp of the SNF Jun 10, 2025
Timothy G Clark Individual Trustee of the SNF May 1, 2015
Hancock Regional Hospital Organization, Greenfield, IN Non-profit 5% Or Greater Direct Ownership Interest Nov 14, 2018 100%
Steven V Long Individual Operational/Managerial Control Nov 14, 2018
Omega Healthcare Investors Inc Organization, Cockeysville, MD Corporation Adp of the SNF Sep 1, 2017
Georgetown MGT Co LLC Organization, Blue Ash, OH LLC Operational/Managerial Control Sep 1, 2017
Adp of the SNF Sep 1, 2017
Joshua Daugherty Individual Trustee of the SNF Jan 1, 2020
Dean R Felker Individual Trustee of the SNF May 1, 2015
Richard Odenthal Individual Operational/Managerial Control Sep 1, 2017
Maria F Bond Individual Trustee of the SNF Jul 1, 2021
Sara M Joyner Individual Trustee of the SNF Jan 1, 2022
Amanda Spall Individual Operational/Managerial Control Feb 19, 2015
Adp of the SNF Feb 19, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 30

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%) Jul 1, 2017
Westminster Village NorthIndianapolis, IN, CCN 155167 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Feb 1, 2012
Feb 26, 2025
Otterbein Franklin Seniorlife Community Residential & Comprehensive CaFranklin, IN, CCN 155771 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 14, 2013
Majestic Care of McCordsvilleMcCordsville, IN, CCN 155570 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
HooverwoodIndianapolis, IN, CCN 155001 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 10, 2013
Greenwood Healthcare CenterGreenwood, IN, CCN 155193 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 1, 2013
Jul 30, 2025
Great Lakes Healthcare CenterDyer, IN, CCN 155218 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 1, 2013
Jan 5, 2026
Greenfield Healthcare CenterGreenfield, IN, CCN 155188 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
Allison Pointe Healthcare CenterIndianapolis, IN, CCN 155272 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
Southwood Healthcare CenterTerre Haute, IN, CCN 155484 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Kokomo Healthcare CenterKokomo, IN, CCN 155222 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2014
May 9, 2025
Valley View Healthcare CenterElkhart, IN, CCN 155496 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2014
May 15, 2025
Wildwood Healthcare CenterIndianapolis, IN, CCN 155334 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Paddock SpringsWarsaw, IN, CCN 155495 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Springhurst Health CampusGreenfield, IN, CCN 155767 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Bethany Pointe Health CampusAnderson, IN, CCN 155698 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Prairie Lakes Health CampusNoblesville, IN, CCN 155779 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Avalon Springs Health CampusValparaiso, IN, CCN 155795 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Creasy Springs Health CampusLafayette, IN, CCN 155777 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Bridgewater Healthcare CenterCarmel, IN, CCN 155790 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Cedar Creek Health CampusLowell, IN, CCN 155822 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Waterford CrossingGoshen, IN, CCN 155760 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Morrison Woods Health CampusMuncie, IN, CCN 155769 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Ashford Place Health CampusShelbyville, IN, CCN 155735 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Wellbrooke of South BendSouth Bend, IN, CCN 155824 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Wellbrooke of WestfieldWestfield, IN, CCN 155808 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Southpointe Healthcare CenterIndianapolis, IN, CCN 155823 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)		 Mar 1, 2016
Mar 1, 2016
Robin Run Health CenterIndianapolis, IN, CCN 155505 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
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 29

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

View all 29

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evergreen Crossing and the LoftsCCN 155826
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 11, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10993.5 residents per day on average
Chain
Communicare Health110 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
15D2081998Evergreen Crossing and the Lofts5404 Georgetown Road, Indianapolis, IN 46254Certificate of waiverAug 4, 2026

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1669883252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 GEORGETOWN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545500",
            "telephone_number": "317-291-5404",
            "fax_number": "317-291-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 GEORGETOWN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545500",
            "telephone_number": "317-291-5404",
            "fax_number": "317-291-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-468-4412"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evergreen Crossing and the Lofts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evergreen Crossing and the Lofts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.