Active NPI
Bhi Senior Living, Inc.
Doing business as Hoosier Village Retirement Center
- Skilled Nursing Facility
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 05-1000548-1
- Legal business name
- BHI SENIOR LIVING, INC.
- Doing business as
- Hoosier Village Retirement Center
- Practice address
- 9875 Cherryleaf Dr
Indianapolis, IN 46268-3940 - Phone
- (317) 873-3371
- Fax
- (317) 873-4856
- NPI assigned
- Aug 25, 2006
- Last updated
- Jun 3, 2026
- Organization subpart
- Yes
- Parent organization
- BHI SENIOR LIVING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger Weideman II
- Title
- Cfo
- Phone
- (317) 873-3371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 05-1000548-1 | IN | Primary |
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 1
- Hoosier Village Retirement Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111107000777 | IN | Part A Provider - Skilled Nursing Facility | 3577619899 | Practice locations: Indianapolis, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720195597. Details of each certification follow.
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
- Enrollment address
- 9875 Cherryleaf Dr
Indianapolis, IN 46268-3940 - Nursing home name
- HOOSIER VILLAGE
- Affiliated entity
- BHI SENIOR LIVING
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Towne House Retirement Community
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1255441663
3577619899
-
dba Four Seasons Retirement Center
- Skilled Nursing Facility
- Columbus, IN
- NPI 1568572287
3577619899
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hoosier Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1992
- Medicare certification status
- Active
- Certified beds
- 24
- Chain
- Bhi Senior Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0355013 | Hoosier Village | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Four Seasons Retirement C
- Part of
- Four Seasons Retirement C
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1023112349
-
dba Towne House Retirement Community
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1255441663
-
dba Four Seasons Retirement Center
- Skilled Nursing Facility
- Columbus, IN
- NPI 1568572287
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marwan Mustaklem | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Jeffrey Caldwell | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Healthcare Therapy Services Inc | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Plante & Moran PLLC | Adp of the SNF | Jan 1, 2025 | |
| Vanessa Petry | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| L. Dean Jones | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Computershare Corporate Trust Company, NA | 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 | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Fred Robbins | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Olivia Lopez | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Bhi Senior Living, Inc. | Operational/Managerial Control | Jan 1, 2025 | 100% |
| Jeffrey a Terp | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Forvis Mazars, LLP | Adp of the SNF | Jun 1, 2023 | |
| Wendy L. Meredith | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Jane Richardson | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Justine Wolf | Adp of the SNF | Jan 1, 2025 | |
| Brian Robert Ellis | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Kerry Williams | Adp of the SNF | Jan 1, 2025 | |
| Mark Prifogle | Corporate Officer | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Vincent Cagle | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Douglass B Dalton | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Beth Kelly | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Mindy J. Kantz | Corporate Director | Jan 31, 1997 | |
| Operational/Managerial Control | Jan 31, 1997 | ||
| Adp of the SNF | Jan 31, 1997 | ||
| Jane a. Seigel | Corporate Director | Jun 8, 2005 | 100% |
| Elizabeth Koselke | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Roger Miller | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| John S. Dattilo | Corporate Officer | Mar 1, 2015 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Roger E. Weideman II | Corporate Officer | May 3, 2010 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| John Bloomstrom | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Towne House Retirement Community
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1255441663
Operational/Managerial Control
-
dba Four Seasons Retirement Center
- Skilled Nursing Facility
- Columbus, IN
- NPI 1568572287
Operational/Managerial Control
-
- Internal Medicine Physician
- Fishers, IN
- NPI 1750357513
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Four Seasons Retirement Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| Towne House Retirement Community | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| Westminster Village North | Skilled nursing facility | Adp of the SNF | Feb 1, 2012 |
| Wesley Manor Health Center | Skilled nursing facility | Adp of the SNF | Feb 1, 2012 |
| The Barrington of Carmel | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Towne House Retirement Community
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1255441663
Adp of the SNF, Operational/Managerial Control
-
dba Four Seasons Retirement Center
- Skilled Nursing Facility
- Columbus, IN
- NPI 1568572287
Adp of the SNF, Operational/Managerial Control
-
dba Westminster Village North
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1881966158
Adp of the SNF
-
dba The Barrington of Carmel
- Skilled Nursing Facility
- Carmel, IN
- NPI 1265089601
Adp of the SNF, Operational/Managerial Control
-
dba Wesley Manor Health Center
- Nursing Facility/Intermediate Care Facility
- Frankfort, IN
- NPI 1548241045
Adp of the SNF
Facilities with the same owner 14
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Cedars
- Skilled Nursing Facility
- Leo, IN
- NPI 1023003118
Healthcare Therapy Services Inc
-
dba Fort Wayne Health Campus
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Healthcare Therapy Services Inc
-
dba Lutheran Life Villages
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Healthcare Therapy Services Inc
-
dba Lutheran Life Villages (Kendallville)
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Healthcare Therapy Services Inc
-
dba Heritage Pointe
- Skilled Nursing Facility
- Warren, IN
- NPI 1346245271
Healthcare Therapy Services Inc
-
dba Christian Care Retirement Community
- Skilled Nursing Facility
- Bluffton, IN
- NPI 1447231832
Healthcare Therapy Services Inc
-
dba Heritage Pointe of Huntington
- Skilled Nursing Facility
- Huntington, IN
- NPI 1477556546
Healthcare Therapy Services Inc
-
dba Heritage Pointe of Fort Wayne
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1801205240
Healthcare Therapy Services Inc
-
dba Saint Anne home
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1821092347
Healthcare Therapy Services Inc
-
dba Towne House Retirement Community
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1255441663
Bhi Senior Living, Inc., Computershare Corporate Trust Company, NA, Healthcare Therapy Services Inc
-
dba Four Seasons Retirement Center
- Skilled Nursing Facility
- Columbus, IN
- NPI 1568572287
Bhi Senior Living, Inc., Computershare Corporate Trust Company, NA, Healthcare Therapy Services Inc
-
- Home Health Agency
- Indianapolis, IN
- NPI 1164139358
Healthcare Therapy Services Inc
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1720195597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9875 CHERRYLEAF DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683940",
"telephone_number": "317-873-3371",
"fax_number": "317-873-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9875 CHERRYLEAF DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683940",
"telephone_number": "317-873-3371",
"fax_number": "317-873-4856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHI SENIOR LIVING, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BHI SENIOR LIVING",
"enumeration_date": "2006-08-25",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "WEIDEMAN",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "317-873-3371",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "05-1000548-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hoosier Village Retirement Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hoosier Village Retirement Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.