Organization Active NPI

Bhi Senior Living, Inc.

Doing business as Hoosier Village Retirement Center

  • Skilled Nursing Facility
  • Indianapolis, IN
National Provider Identifier
1720195597
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05-1000548-1 Issued in IN
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BHI SENIOR LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hoosier VillageCCN 155472 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
2411.3 residents per day on average
Chain
Bhi Senior Living9 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
15D0355013Hoosier Village9875 Cherryleaf Dr, Indianapolis, IN 46268Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Four Seasons Retirement C4 organizations share this tax ID, including this one
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.

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.

NameRoleSinceShare
Marwan Mustaklem Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jeffrey Caldwell Individual Corporate DirectorDirector 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 DirectorDirector of Clinical Informatics Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
L. Dean Jones Individual Corporate DirectorDirector 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 DirectorSNF Director of Nursing Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Fred Robbins Individual Corporate DirectorDirector Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Olivia Lopez Individual Corporate DirectorActivities 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 DirectorVice-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 DirectorSecretary Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Jane Richardson Individual Corporate DirectorChairperson 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 OfficerVice President of Operations-in Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Vincent Cagle Individual Corporate DirectorDirector Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Douglass B Dalton Individual Corporate DirectorDirector Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Beth Kelly Individual Corporate DirectorDirector Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Mindy J. Kantz Individual Corporate DirectorExecutive Director Jan 31, 1997
Operational/Managerial Control Jan 31, 1997
Adp of the SNF Jan 31, 1997
Jane a. Seigel Individual Corporate DirectorSecretary 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 OfficerPresident/Ceo Mar 1, 2015
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Roger E. Weideman II Individual Corporate OfficerVice President/Cfo May 3, 2010
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
John Bloomstrom Individual Corporate DirectorDirector 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.

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 CenterColumbus, IN, CCN 155471 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025
Towne House Retirement CommunityFort Wayne, IN, CCN 155475 Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jan 1, 2025
Jan 1, 2025
Westminster Village NorthIndianapolis, IN, CCN 155167 Skilled nursing facility Adp of the SNF Feb 1, 2012
Wesley Manor Health CenterFrankfort, IN, CCN 155658 Skilled nursing facility Adp of the SNF Feb 1, 2012
The Barrington of CarmelCarmel, IN, CCN 155817 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.

Facilities with the same owner 14

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

View all 14

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

Verify at the official NPI Registry.