Woodlawn Hospital
Organization Active NPI Skilled Nursing Facility · Goshen, IN
NPI 1770586554 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1770586554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 05-000112-1 (IN)
- Legal business name
- WOODLAWN HOSPITAL
- Practice address
- 1225 Greencroft Dr
Goshen, IN 46526-5102 - Phone
- (574) 537-4000
- NPI assigned
- May 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. John Alley
- Title
- President/Ceo
- Phone
- (574) 223-3141
Owners & managing parties with NPI records 16
Owned or controlled facilities with NPI records 15
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 25
Facilities with the same owner 15
Practitioners 30
-
James Timothy Aldridge, D.O.
-
Omazonna Amadi, MD
-
Leigh Barts, FNP-C
-
Joseph Peter Binfet, M.D.
-
Michael J Brubaker, D.O.
-
Keri Rae Federspiel, FNP
-
Jerrod A Feldman, MD
-
Kelly Ann Friar, PA-C
-
Shannon Michelle Guckien, FNP-BC
-
Monzur Haque, M.D.
-
Kelsey Heckaman, FNP
-
Jennifer Hensley, FNP
-
Gina L Moore, FNP
-
Janell Nicole Mulligan, FNP-C
-
John E Nile, D.O.
-
Kevin O'Brien, MD
-
Teresa Marie Perkins, APRN, BC
-
Eric Rindlisbacher, DPM
-
Elizabeth Rodriguez, FNP-BC
-
Debra F Sanders, MD
-
Brigitte R Selio, MD
Affiliated clinicians 10
-
Paul H Buller, MD
-
Edith M Cullen, M.D.
-
Julia M Freeze, MD
-
Lenora R. Hirschler, M.D.
-
David C Kay, M.D.
-
Anne Love, NP
-
Thomas Pechin III, M.D.
-
Lane C. Reed, M.D.
-
Anne Lehman Shenk, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Greencroft Healthcare
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 18, 1982
- Medicare certification status
- Active
- Certified beds
- 214 · 152.4 residents per day on average
- Chain
- Greencroft Communities
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0647382 | Woodlawn Hosp Dba Greencroft | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155205
- Legal name
- WOODLAWN HOSPITAL
- Doing business as
- GREENCROFT HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 18, 1982
- Last certification
- May 23, 2025
- Beds
- 214
- Ownership / control type
- Other Nonprofit
- Most recent change of ownership
- Nov 1, 2015
- Organization structure
- Other · Non-profit
- Enrollment address
- 1225 Greencroft Dr
Goshen, IN 46526-5102 - Nursing home name
- GREENCROFT HEALTHCARE
- Affiliated entity
- GREENCROFT COMMUNITIES
All disclosed owners & managing parties 28
| Name | Role | Since | Share |
|---|---|---|---|
| Alison M Heyde |
Corporate Director | Sep 9, 2019 | |
| Alan Jay Fisher |
Corporate Officer |
Jun 13, 2022 | |
| Brandon Miller |
Managing Control - Governing Body |
Apr 7, 2025 | |
| Trustee of the SNF | Apr 7, 2025 | ||
| Terri L Johnson |
Managing Control - Governing Body |
Jun 13, 2022 | |
| Trustee of the SNF | Jun 13, 2022 | ||
| Jim Caskey |
Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Dennis Caffee |
Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Gene Yoder |
Operational/Managerial Control | Jan 1, 2018 | |
| Adp of the SNF | Jan 1, 2018 | ||
| Brian Cook |
Operational/Managerial Control | Oct 28, 2024 | |
| Adp of the SNF | Oct 28, 2024 | ||
| Woodlawn Hospital |
5% Or Greater Direct Ownership Interest | Nov 1, 2015 | 100% |
| Lynda Olinski |
Operational/Managerial Control | Apr 8, 2020 | |
| Adp of the SNF | Apr 8, 2020 | ||
| Harry Webb |
Managing Control - Governing Body |
Oct 15, 2023 | |
| Steven Garboden |
Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Jackson Beck |
Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Launa Leftwich |
Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Greencroft Retirement Communities |
Operational/Managerial Control | Nov 1, 2015 | |
| Wes Herschberger |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Julia Crossley |
Operational/Managerial Control | Jan 1, 2021 | |
| Adp of the SNF | Jan 1, 2021 | ||
| Diane Woodworth |
Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Gregory Lee Mellinger |
Corporate Director |
Jun 13, 2022 | |
| James Evans |
Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Julie Hertzler |
Operational/Managerial Control | Jan 1, 2020 | |
| Adp of the SNF | Jan 1, 2020 | ||
| Benjamin Joel Bontrager |
Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Glen W Bode |
Managing Control - Governing Body |
Dec 9, 2022 | |
| Trustee of the SNF | Dec 9, 2022 | ||
| Greencroft Goshen, Inc. |
Operational/Managerial Control | Nov 1, 2025 | |
| Adp of the SNF | Nov 1, 2015 | ||
| Kendra Chudzynski |
Managing Control - Governing Body |
Oct 15, 2024 | |
| Trustee of the SNF | Oct 15, 2024 | ||
| Jenna Martin |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Hugh C Davis |
Operational/Managerial Control | Feb 5, 2024 | |
| Adp of the SNF | Feb 5, 2024 | ||
| Jonathon Geiser |
Operational/Managerial Control | Jan 1, 2020 | |
| Adp of the SNF | Jan 1, 2020 |
All facility ownership & control disclosures 15
| Facility | Type | Role | Since |
|---|---|---|---|
| Woodlawn Hospital |
Hospital | Operational/Managerial Control | Jan 8, 2010 |
| Woodlawn Hospital |
Hospital | Operational/Managerial Control | Jan 8, 2010 |
| Grace Village Health Care Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
May 1, 2013 May 28, 2025 |
| Wesley Manor Health Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Apr 8, 2013 Mar 12, 2025 |
| Timbercrest Church of the Brethren Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2014 |
| Peabody Retirement Community |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 31, 2014 Dec 17, 2025 |
| Hamilton Grove |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2015 Dec 8, 2025 |
| Southfield Village |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2015 |
| Oak Grove Christian Retirement Village |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2016 Jan 1, 2016 Nov 17, 2025 |
| Golden Years Homestead |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2018 |
| Woodlawn Medical Professionals |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Aug 1, 2013 |
| Argos Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Aug 1, 2013 |
| Akron Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Aug 1, 2013 |
| Shafer Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Jan 1, 2012 |
| Fulton County Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Aug 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151214001269 | IN | Part a Provider - Skilled Nursing Facility | 4082506993 | Practice locations: Goshen, IN |
National Provider Directory
- Tax ID family
- Akron Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 05-000112-1 | IN | Yes |
Addresses
Primary practice location
1225 Greencroft Dr
Goshen, IN 46526-5102
Mailing address
PO Box 819
Goshen, IN 46527-0819
Phone (574) 537-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100288710A | Medicaid | IN |
Other names
- Greencroft Healthcare
Other providers in Goshen, IN
- Teressa Williams
- Helen Winer-Muram
- Gerald L. Wingard
- Amy Jean Wleklinski
- Chelsea Wood
- Shirlyn Wright
- Stuart Wuergler
- Todd Samuel Wyse
- Jennifer Marie Wysong
- Min Yan
All providers in Goshen, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.