Johnson Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

16-000010-1 Issued in IN

Legal business name

JOHNSON MEMORIAL HOSPITAL

Doing business as

Greenwood Village South

Practice address

295 Village LN
Greenwood, IN 46143-2440

Phone

(317) 865-4654

Fax

(317) 859-4436

NPI assigned

Nov 3, 2005

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven J Berkhouse

Title

Cfo

Phone

(317) 346-7939

Specialties & licenses 2

Addresses

Other names 1

• GREENWOOD VILLAGE SOUTH Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790776128. Details of each certification follow.

• CCN 155026 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155026

Legal name

JOHNSON MEMORIAL HOSPITAL

Doing business as

GREENWOOD VILLAGE SOUTH

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 5, 1969

Last certification

Aug 13, 2024

Beds

207 (137 certified)

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Johnson Memorial Hospital

Organization structure

GovernmentNon-profit

Enrollment address

295 Village LN
Greenwood, IN 46143-2440

Nursing home name

GREENWOOD VILLAGE SOUTH

Affiliated entity

LIFE CARE SERVICES

Listed as

Greenwood Village SouthCCN 155026 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Aug 5, 1969

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

137123.2 residents per day on average

Chain

Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Emergency Medical GRP37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

• Johnson Memorial Hospital

  dba The Waters of Sullivan Skilled Nursing Facility

  • Skilled Nursing Facility
  • Sullivan, IN
  • NPI 1003838194
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Syracuse Skilled Nursing Facility

  • Skilled Nursing Facility
  • Syracuse, IN
  • NPI 1023031465
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Fort Wayne Skilled Nursing Facility

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1033132477
  NPD tax ID
• Johnson Memorial Hospital

  dba Compass Park

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053301259
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Castleton Skilled Nursing Facility

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1114940558
  NPD tax ID
• Johnson Memorial Hospital

  dba Miller's Merry Manor

  • Skilled Nursing Facility
  • Warsaw, IN
  • NPI 1114947686
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Rushville Skilled Nursing Facility

  • Skilled Nursing Facility
  • Rushville, IN
  • NPI 1134142573
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Wabash Skilled Nursing Facility West

  • Skilled Nursing Facility
  • Wabash, IN
  • NPI 1144236415
  NPD tax ID
• Johnson Memorial Hospital

  dba Miller's at Oak Pointe

  • Skilled Nursing Facility
  • Columbia City, IN
  • NPI 1144627977
  NPD tax ID
• Johnson Memorial Hospital

  dba Miller's Merry Manor

  • Skilled Nursing Facility
  • Hope, IN
  • NPI 1194747287
  NPD tax ID
• Johnson Memorial Hospital

  dba Millers Merry Manor

  • Skilled Nursing Facility
  • Marion, IN
  • NPI 1215111067
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Wabash Skilled Nursing Facility East

  • Skilled Nursing Facility
  • Wabash, IN
  • NPI 1235150376
  NPD tax ID

All disclosed owners & managing parties 24

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

Owners & managing parties with NPI records 3

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

• David H Dunkle, MD

  • Family Medicine Physician
  • Franklin, IN
  • NPI 1053468041

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Kevin D Neese, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1699710319

  Operational/Managerial Control

  CMS ownership
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Adp of the SNF

  CMS ownership

All facility ownership & control disclosures 34

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

Facilities with the same owner 91

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

• Johnson Memorial Hospital

  dba The Waters of Sullivan Skilled Nursing Facility

  • Skilled Nursing Facility
  • Sullivan, IN
  • NPI 1003838194

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba The Waters of Syracuse Skilled Nursing Facility

  • Skilled Nursing Facility
  • Syracuse, IN
  • NPI 1023031465

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba The Waters of Fort Wayne Skilled Nursing Facility

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1033132477

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba Compass Park

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053301259

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba The Waters of Castleton Skilled Nursing Facility

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1114940558

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba Miller's Merry Manor

  • Skilled Nursing Facility
  • Warsaw, IN
  • NPI 1114947686

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba The Waters of Rushville Skilled Nursing Facility

  • Skilled Nursing Facility
  • Rushville, IN
  • NPI 1134142573

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba The Waters of Wabash Skilled Nursing Facility West

  • Skilled Nursing Facility
  • Wabash, IN
  • NPI 1144236415

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba Miller's at Oak Pointe

  • Skilled Nursing Facility
  • Columbia City, IN
  • NPI 1144627977

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba Miller's Merry Manor

  • Skilled Nursing Facility
  • Hope, IN
  • NPI 1194747287

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba Millers Merry Manor

  • Skilled Nursing Facility
  • Marion, IN
  • NPI 1215111067

  Johnson Memorial Hospital

  CMS ownership
• Johnson Memorial Hospital

  dba The Waters of Wabash Skilled Nursing Facility East

  • Skilled Nursing Facility
  • Wabash, IN
  • NPI 1235150376

  Johnson Memorial Hospital

  CMS ownership

Affiliated clinicians 2

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

• Daniel Joseph Hurley, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1750432969

  Nursing home

  Care Compare affiliation
• Kevin D Neese, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1699710319

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1790776128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 VILLAGE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461432440",
            "telephone_number": "317-865-4654",
            "fax_number": "317-859-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VILLAGE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461432440",
            "telephone_number": "317-865-4654",
            "fax_number": "317-859-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "BERKHOUSE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-346-7939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "04-000010-1",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "16-000010-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENWOOD VILLAGE SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanvi Jhaveri
• Haoyuan Jiang, PH.D., L.AC.
• John P Jansen DDS LLC
• Hannah John, RBT
• Johnson Family Vision Inc.
• Andrea Johnson, RBT
• Cindy Gail Johnson, AA ; RBT
• Emily Sharpe Johnson, LMHC
• Erin Johnson
• Hannah Johnson

• Skilled Nursing Facility in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.

Verify at the official NPI Registry.