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Bhi Senior Living, Inc.

Organization Active NPI Skilled Nursing Facility · Indianapolis, IN

NPI 1720195597 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1720195597
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
05-1000548-1 (IN)
Legal business name
BHI SENIOR LIVING, INC.
Practice address
9875 Cherryleaf Dr
Indianapolis, IN 46268-3940
Phone
(317) 873-3371
Fax
(317) 873-4856
NPI assigned
Aug 25, 2006
Organization subpart
Yes
Parent organization (as reported)
BHI SENIOR LIVING

Authorized official

Name
Roger Weideman II
Title
Cfo
Phone
(317) 873-3371

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

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

Facilities with the same owner 14

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

Affiliated clinicians 1

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

Medicare Care Compare: Nursing home

Listed as
Hoosier Village CCN 155472
Overall star rating
★★★★☆ 4 of 5
Health inspections
★★★★☆ 4 of 5
Staffing
★★★★☆ 4 of 5
Quality measures
★★★★☆ 4 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Dec 1, 1992
Medicare certification status
Active (Provider of Services file)
Certified beds
24 · 11.3 residents per day on average
Chain
Bhi Senior Living (9 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0355013Hoosier Village
9875 Cherryleaf Dr, Indianapolis, IN 46268		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Skilled nursing facility certification: CCN 155472

Legal name
BHI SENIOR LIVING, INC.
Doing business as
HOOSIER VILLAGE RETIREMENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 1, 1992
Last certification
May 9, 2025
Beds
462 (24 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
BHI Senior Living
Organization structure
Corporation · Non-profit
Enrollment address
9875 Cherryleaf Dr
Indianapolis, IN 46268-3940
Nursing home name
HOOSIER VILLAGE
Affiliated entity
BHI SENIOR LIVING

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Marwan Mustaklem
Individual 		Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jeffrey Caldwell
Individual 		Corporate Director
Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Healthcare Therapy Services Inc
Organization · Greenwood, IN 		Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Plante & Moran PLLC
Organization · Southfield, MI
LLC, Consulting firm 		Adp of the SNF Jan 1, 2025
Vanessa Petry
Individual 		Corporate Director
Director of Clinical Informatics		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
L. Dean Jones
Individual 		Corporate Director
Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Computershare Corporate Trust Company, NA
Organization · Chicago, IL
Financial institution 		5% Or Greater Mortgage Interest Jan 1, 2025 40.48%
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Anna Weaver
Individual 		Corporate Director
SNF Director of Nursing		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Fred Robbins
Individual 		Corporate Director
Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Olivia Lopez
Individual 		Corporate Director
Activities Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Bhi Senior Living, Inc.
Organization · Indianapolis, IN
Corporation, Non-profit, Chain home office 		Operational/Managerial Control Jan 1, 2025 100%
Jeffrey a Terp
Individual 		Corporate Director
Vice-Chairperson		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Forvis Mazars, LLP
Organization · Springfield, MO
Consulting firm 		Adp of the SNF Jun 1, 2023
Wendy L. Meredith
Individual 		Corporate Director
Secretary		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Jane Richardson
Individual 		Corporate Director
Chairperson		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Justine Wolf
Individual 		Adp of the SNF Jan 1, 2025
Brian Robert Ellis
Individual 		Corporate Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Kerry Williams
Individual 		Adp of the SNF Jan 1, 2025
Mark Prifogle
Individual 		Corporate Officer
Vice President of Operations-in		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Vincent Cagle
Individual 		Corporate Director
Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Douglass B Dalton
Individual 		Corporate Director
Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Beth Kelly
Individual 		Corporate Director
Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Mindy J. Kantz
Individual 		Corporate Director
Executive Director		 Jan 31, 1997
Operational/Managerial Control Jan 31, 1997
Adp of the SNF Jan 31, 1997
Jane a. Seigel
Individual 		Corporate Director
Secretary BD of Dir'S Bhi Senior		 Jun 8, 2005 100%
Elizabeth Koselke
Individual 		Corporate Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Roger Miller
Individual 		Corporate Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
John S. Dattilo
Individual 		Corporate Officer
President/Ceo		 Mar 1, 2015
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Roger E. Weideman II
Individual 		Corporate Officer
Vice President/Cfo		 May 3, 2010
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
John Bloomstrom
Individual 		Corporate Director
Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Four Seasons Retirement Center
Columbus, IN · CCN 155471		 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Towne House Retirement Community
Fort Wayne, IN · CCN 155475		 Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Westminster Village North
Indianapolis, IN · CCN 155167		 Skilled nursing facility Adp of the SNF Feb 1, 2012
Wesley Manor Health Center
Frankfort, IN · CCN 155658		 Skilled nursing facility Adp of the SNF Feb 1, 2012
The Barrington of Carmel
Carmel, IN · CCN 155817		 Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111107000777 IN Part a Provider - Skilled Nursing Facility 3577619899 Practice locations: Indianapolis, IN

National Provider Directory

Tax ID family
Four Seasons Retirement C (4 organizations share this tax ID)
Part of
Four Seasons Retirement C

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05-1000548-1 IN Yes

Addresses

Primary practice location

9875 Cherryleaf Dr
Indianapolis, IN 46268-3940

Mailing address

9875 Cherryleaf Dr
Indianapolis, IN 46268-3940
Phone (317) 873-3371

Other names

  • Hoosier Village Retirement Center Doing business as

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Skilled Nursing Facility in Indiana

Sources for this page

Verify at the official NPI Registry.