NPIMap

Organization Active NPI

Woodlawn Hospital

Doing business as Greencroft Healthcare

  • Skilled Nursing Facility
  • Goshen, IN
National Provider Identifier
1770586554
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05-000112-1 Issued in IN
Legal business name
WOODLAWN HOSPITAL
Doing business as
Greencroft Healthcare
Practice address
1225 Greencroft Dr
Goshen, IN 46526-5102
Phone
(574) 537-4000
NPI assigned
May 24, 2005
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mr. John Alley
Title
President/Ceo
Phone
(574) 223-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05-000112-1 IN Primary

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 names 1

  • Greencroft Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214001269 IN Part A Provider - Skilled Nursing Facility 4082506993 Practice locations: Goshen, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770586554. Details of each certification follow.

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
OtherNon-profit
Enrollment address
1225 Greencroft Dr
Goshen, IN 46526-5102
Nursing home name
GREENCROFT HEALTHCARE
Affiliated entity
GREENCROFT COMMUNITIES

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Care Compare: Nursing home

Medicare Care Compare
Listed as
Greencroft HealthcareCCN 155205 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
214152.4 residents per day on average
Chain
Greencroft Communities5 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
15D0647382Woodlawn Hosp Dba Greencroft1225 Greencroft Dr Attn Tony Ughetti, Goshen, IN 46526Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Woodlawn Hospital26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Alison M Heyde Individual Corporate Director Sep 9, 2019
Alan Jay Fisher Individual Corporate OfficerCeo Jun 13, 2022
Brandon Miller Individual Managing Control - Governing BodyBoard Member Apr 7, 2025
Trustee of the SNF Apr 7, 2025
Terri L Johnson Individual Managing Control - Governing BodyBoard Member Jun 13, 2022
Trustee of the SNF Jun 13, 2022
Jim Caskey Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Dennis Caffee Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Gene Yoder Individual Operational/Managerial Control Jan 1, 2018
Adp of the SNF Jan 1, 2018
Brian Cook Individual Operational/Managerial Control Oct 28, 2024
Adp of the SNF Oct 28, 2024
Woodlawn Hospital Organization, Rochester, IN 5% Or Greater Direct Ownership Interest Nov 1, 2015 100%
Lynda Olinski Individual Operational/Managerial Control Apr 8, 2020
Adp of the SNF Apr 8, 2020
Harry Webb Individual Managing Control - Governing BodyBoard Member Oct 15, 2023
Steven Garboden Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Jackson Beck Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Launa Leftwich Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Greencroft Retirement Communities Organization, Goshen, IN Management services company, Consulting firm, Chain home office Operational/Managerial Control Nov 1, 2015
Wes Herschberger Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Julia Crossley Individual Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Diane Woodworth Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Gregory Lee Mellinger Individual Corporate DirectorBoard Member Jun 13, 2022
James Evans Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Julie Hertzler Individual Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020
Benjamin Joel Bontrager Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Glen W Bode Individual Managing Control - Governing BodyBoard Member Dec 9, 2022
Trustee of the SNF Dec 9, 2022
Greencroft Goshen, Inc. Organization, Goshen, IN Corporation, Non-profit Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2015
Kendra Chudzynski Individual Managing Control - Governing BodyBoard Member Oct 15, 2024
Trustee of the SNF Oct 15, 2024
Jenna Martin Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Hugh C Davis Individual Operational/Managerial Control Feb 5, 2024
Adp of the SNF Feb 5, 2024
Jonathon Geiser Individual Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020

Owners & managing parties with NPI records 16

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

  • Woodlawn Hospital

    dba Timbercrest Church of the Brethren Home

    • Skilled Nursing Facility
    • North Manchester, IN
    • NPI 1073557617

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital
    • Skilled Nursing Facility
    • South Bend, IN
    • NPI 1184604233

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Oak Grove Christian Retirement Village

    • Skilled Nursing Facility
    • Demotte, IN
    • NPI 1235113945

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Shafer Medical Center

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1265095988

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital
    • Critical Access Hospital
    • Rochester, IN
    • NPI 1265413405

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Grace Village Health Care Facility

    • Nursing Facility/Intermediate Care Facility
    • Winona Lake, IN
    • NPI 1285723734

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Golden Years Homestead

    • Skilled Nursing Facility
    • Fort Wayne, IN
    • NPI 1326180803

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Wesley Manor Health Center

    • Nursing Facility/Intermediate Care Facility
    • Frankfort, IN
    • NPI 1548241045

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital
    • Medicare Defined Swing Bed Hospital Unit
    • Rochester, IN
    • NPI 1548396534

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Argos Medical Center

    • Family Medicine Physician
    • Argos, IN
    • NPI 1639241227

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1699338574

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Akron Medical Center

    • Rural Health Clinic/Center
    • Akron, IN
    • NPI 1710540695

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 16

All facility ownership & control disclosures 15

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

FacilityTypeRoleSince
Woodlawn HospitalRochester, IN, CCN 151313 Hospital Operational/Managerial Control Jan 8, 2010
Woodlawn HospitalRochester, IN, CCN 15Z313 Hospital Operational/Managerial Control Jan 8, 2010
Grace Village Health Care FacilityWinona Lake, IN, CCN 155635 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 May 1, 2013
May 28, 2025
Wesley Manor Health CenterFrankfort, IN, CCN 155658 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 HomeNorth Manchester, IN, CCN 155740 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Peabody Retirement CommunityNorth Manchester, IN, CCN 155655 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 31, 2014
Dec 17, 2025
Hamilton GroveNew Carlisle, IN, CCN 155672 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2015
Dec 8, 2025
Southfield VillageSouth Bend, IN, CCN 155684 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Oak Grove Christian Retirement VillageDemotte, IN, CCN 155667 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 HomesteadFort Wayne, IN, CCN 155755 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2018
Woodlawn Medical ProfessionalsRochester, IN, CCN 158552 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Argos Medical CenterArgos, IN, CCN 158548 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Akron Medical CenterAkron, IN, CCN 158547 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Shafer Medical ClinicRochester, IN, CCN 158551 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Jan 1, 2012
Fulton County Medical ClinicRochester, IN, CCN 158550 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013

Owned or controlled facilities with NPI records 15

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

  • Woodlawn Hospital

    dba Timbercrest Church of the Brethren Home

    • Skilled Nursing Facility
    • North Manchester, IN
    • NPI 1073557617

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital
    • Skilled Nursing Facility
    • South Bend, IN
    • NPI 1184604233

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Oak Grove Christian Retirement Village

    • Skilled Nursing Facility
    • Demotte, IN
    • NPI 1235113945

    5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Shafer Medical Center

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1265095988

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital
    • Critical Access Hospital
    • Rochester, IN
    • NPI 1265413405

    Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Grace Village Health Care Facility

    • Nursing Facility/Intermediate Care Facility
    • Winona Lake, IN
    • NPI 1285723734

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Golden Years Homestead

    • Skilled Nursing Facility
    • Fort Wayne, IN
    • NPI 1326180803

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Wesley Manor Health Center

    • Nursing Facility/Intermediate Care Facility
    • Frankfort, IN
    • NPI 1548241045

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital
    • Medicare Defined Swing Bed Hospital Unit
    • Rochester, IN
    • NPI 1548396534

    Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1699338574

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Akron Medical Center

    • Rural Health Clinic/Center
    • Akron, IN
    • NPI 1710540695

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Hamilton Grove

    • Nursing Facility/Intermediate Care Facility
    • New Carlisle, IN
    • NPI 1730174434

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
View all 15

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1770586554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465270819",
            "telephone_number": "574-537-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GREENCROFT DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265102",
            "telephone_number": "574-537-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "574-223-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-000112-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greencroft Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.