NPIMap

Johnson Memorial Hospital

Organization Active NPI Skilled Nursing Facility · Greenwood, IN

NPI 1790776128 · NPPES record last updated Jan 27, 2022

Key facts

NPI
1790776128
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
16-000010-1 (IN)
Legal business name
JOHNSON MEMORIAL HOSPITAL
Practice address
295 Village LN
Greenwood, IN 46143-2440
Phone
(317) 865-4654
Fax
(317) 859-4436
NPI assigned
Nov 3, 2005
Organization subpart
No

Authorized official

Name
Mr. Steven J Berkhouse
Title
Cfo
Phone
(317) 346-7939

Owners & managing parties with NPI records 3

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

Corporate family (same tax ID) 36

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

View all 36

Facilities with the same owner 91

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

View all 91

Affiliated clinicians 2

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

Medicare Care Compare: Nursing home

Listed as
Greenwood Village South CCN 155026
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
Active (Provider of Services file)
Certified beds
137 · 123.2 residents per day on average
Chain
Life Care Services (43 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

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
Government · Non-profit
Enrollment address
295 Village LN
Greenwood, IN 46143-2440
Nursing home name
GREENWOOD VILLAGE SOUTH
Affiliated entity
LIFE CARE SERVICES

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.

NameRoleSinceShare
David H Dunkle
Individual 		Corporate Officer
Ceo/President, MD		 Mar 1, 2019
Operational/Managerial Control
Ceo/President, MD		 Mar 1, 2019
Stephen Powell
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Paul Pfaff
Individual 		Corporate Director
Accounting and Finance Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Dennis Morrison
Individual 		Corporate Director
Director of Plant Services		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
David Hestand
Individual 		Corporate Director
Director of Dining Services		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Diane Crowder
Individual 		Corporate Director
Director of Administrative Servi		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Linda Gibson
Individual 		Corporate Director
Secretary of Board of Directors		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Secretary		 Jan 1, 2025
Westminster Village Greenwood, Inc
Organization · Greenwood, IN
Corporation, Management services company 		Operational/Managerial Control Jan 1, 2025
Adp of the SNF Nov 1, 2016
Life Care Services LLC
Organization · Des Moines, IA
LLC, Management services company, Consulting firm 		Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Pamela Seegers
Individual 		Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jul 9, 2025
Karen Greathouse
Individual 		Corporate Director
Director of Supportive Services		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Director of Supportive Services		 Jan 1, 2025
Alexa Ulrey
Individual 		Corporate Director
Director of Nursing		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Kevin Hoover
Individual 		Corporate Officer
Board Member		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Board Member		 Jan 1, 2025
Daniel H Wagner
Individual 		Corporate Director
President		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
President		 Jan 1, 2025
Michael Tapp
Individual 		Corporate Director
Vice President of Board of Direc		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Jordan Rory Morrow
Individual 		Corporate Director
Executive Director		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Executive Director		 Jan 1, 2025
Ellen Johnson
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Jerry Cripps
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Board Member		 Jan 1, 2025
Kevin D Neese
Individual 		Operational/Managerial Control Jan 1, 2025
Jeffrey Colvin
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Board Member		 Jan 1, 2025
George Callon
Individual 		Corporate Director
Treasurer		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing Body
Treasurer		 Jan 1, 2025
Crystal Gipson
Individual 		Corporate Director
Director of Environmental Servic		 Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Johnson Memorial Hospital
Organization · Franklin, IN
Medical provider/supplier, Non-profit 		5% Or Greater Direct Ownership Interest Nov 1, 2016 100%
Operational/Managerial Control Nov 1, 2016
Adp of the SNF Jul 9, 2025
Select Rehabilitation, LLC
Organization · Glenview, IL
Investment firm 		Adp of the SNF Feb 12, 2025

All facility ownership & control disclosures 34

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

FacilityTypeRoleSince
Millers Merry Manor
Indianapolis, IN · CCN 155557		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2012
Jun 1, 2013
Jun 1, 2013
Millers Merry Manor
Logansport, IN · CCN 155235		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Millers Merry Manor
Plymouth, IN · CCN 155102		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
The Waters of Lagrange Skilled Nursing Facility
Lagrange, IN · CCN 155118		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Dunkirk Skilled Nursing Facilty
Dunkirk, IN · CCN 155571		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Sullivan Nursing Facility
Sullivan, IN · CCN 155262		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Rushville Skilled Nursing Facility
Rushville, IN · CCN 155053		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Syracuse Skilled Nursing Facility
Syracuse, IN · CCN 155581		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Tipton Skilled Nursing Facility
Tipton, IN · CCN 155556		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Peru Skilled Nursing Facility
Peru, IN · CCN 155039		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Rockport Skilled Nursing Facility
Rockport, IN · CCN 155274		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Chesterfield Skilled Nursing Facility
Chesterfield, IN · CCN 155617		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Fort Wayne Skilled Nursing Facility
Fort Wayne, IN · CCN 155321		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Wakarusa Skilled Nursing Facility
Wakarusa, IN · CCN 155582		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Hartford City Skilled Nursing Facility
Hartford City, IN · CCN 155576		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Columbia City Skilled Nursing Facility
Columbia City, IN · CCN 155150		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Castleton Skilled Nursing Facility
Indianapolis, IN · CCN 155271		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Middletown Skilled Nursing Facility
Middletown, IN · CCN 155573		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Huntington Skilled Nursing Facility
Huntington, IN · CCN 155059		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Hobart Skilled Nursing Facility
Hobart, IN · CCN 155251		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Miller'S Merry Manor
Walkerton, IN · CCN 155574		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Miller'S Merry Manor
New Carlisle, IN · CCN 155578		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry Manor
Portage, IN · CCN 155299		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Millers Merry Manor
Culver, IN · CCN 155589		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2023
Miller'S Merry Manor
Warsaw, IN · CCN 155049		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry Manor
Garrett, IN · CCN 155583		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry Manor
Hope, IN · CCN 155579		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Millers at Oak Pointe
Columbia City, IN · CCN 155128		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
The Waters of Wabash Skilled Nursing Facility East
Wabash, IN · CCN 155006		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
The Waters of Wabash Skilled Nursing Facility West
Wabash, IN · CCN 155627		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Millers Merry Manor
Marion, IN · CCN 155173		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Oct 1, 2015
Jun 1, 2013
Jun 1, 2013
Millers Merry Manor
Mooresville, IN · CCN 155564		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Miller'S Health & Rehab by Miller'S Merry Manor
La Porte, IN · CCN 155297		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Compass Park
Franklin, IN · CCN 155593		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Jan 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170119000304 IN Part a Provider - Skilled Nursing Facility 8527972595 Practice locations: Greenwood, IN

National Provider Directory

Tax ID family
Emergency Medical Group (37 organizations share this tax ID)

Locations

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 04-000010-1 IN
Skilled Nursing Facility 314000000X 16-000010-1 IN Yes

Addresses

Primary practice location

295 Village LN
Greenwood, IN 46143-2440

Mailing address

295 Village LN
Greenwood, IN 46143-2440
Phone (317) 865-4654

Other identifiers

IdentifierTypeStateIssuer
1000453660MedicaidIN

Other names

  • GREENWOOD VILLAGE SOUTH Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 27, 2022.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000453660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENWOOD VILLAGE SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

All providers in Greenwood, IN · Skilled Nursing Facility in Indiana

Sources for this page

Verify at the official NPI Registry.