Active NPI
Retirement Living, Inc.
- Skilled Nursing Facility
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 05-000105-1
- Legal business name
- RETIREMENT LIVING, INC.
- Practice address
- 8140 Township Line Rd
Indianapolis, IN 46260-5824 - Phone
- (317) 875-9700
- Fax
- (317) 875-7504
- NPI assigned
- Nov 28, 2005
- Last updated
- Aug 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith J Detrude
- Title
- President
- Phone
- (317) 573-3895
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 05-000105-1 | IN | Primary |
Addresses
Primary practice location
8140 Township Line Rd
Indianapolis, IN 46260-5824
Mailing address
8140 Township Line Rd
Indianapolis, IN 46260-5824
Phone (317) 875-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141215001084 | IN | Part A Provider - Skilled Nursing Facility | 7517877194 | Practice locations: Indianapolis, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1811970569. Details of each certification follow.
Skilled nursing facility certification: CCN 155198
- Legal name
- RETIREMENT LIVING INC
- Doing business as
- MARQUETTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jun 2, 1981
- Last certification
- Feb 5, 2025
- Beds
- 134 (57 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 8140 Township Line Rd
Indianapolis, IN 46260-5824 - Nursing home name
- MARQUETTE
- Affiliated entity
- LIFE CARE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Marquette
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jun 2, 1981
- Medicare certification status
- Active
- Certified beds
- 57
- Chain
- Life Care Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0881669 | Marquette | Certificate of waiver | Jan 13, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Douglas Kevin Scheid | Corporate Officer | Jan 1, 2023 | |
| Wayne Turner | Corporate Director | Jul 10, 2024 | |
| Branch Banking & Trust Company | 5% Or Greater Mortgage Interest | Jun 10, 2010 | 39.08% |
| 5% Or Greater Security Interest | Jun 10, 2010 | 39.08% | |
| Marwan Mustaklem | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Jay R Brehm | Corporate Director | Jan 1, 2026 | |
| Jeffrey Cox | Operational/Managerial Control | Sep 1, 2015 | |
| Heather L. Bice | Corporate Officer | Jan 1, 2023 | |
| Life Care Services LLC | Operational/Managerial Control | Jun 10, 2010 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Scott R. Hirschman | Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Jan 1, 2022 | ||
| Camille D. Blunt | Corporate Officer | Jan 1, 2023 | |
| Constance Brown | Corporate Officer | Jan 1, 2021 | |
| Corporate Director | Jan 1, 2019 | ||
| Trenton S Klein | Operational/Managerial Control | Nov 15, 2025 | |
| Adp of the SNF | Feb 4, 2026 | ||
| Joseph F. Breen | Corporate Officer | Jan 1, 2022 | |
| Corporate Director | Jan 1, 2022 | ||
| Kevin J Schaefer | Corporate Director | Jan 1, 2022 | |
| Retirement Living Inc | 5% Or Greater Direct Ownership Interest | Jun 10, 2010 | 100% |
| Barrett P Way | Corporate Director | Jan 1, 2025 | |
| Nichole Wilson | Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Jan 1, 2021 | ||
| David J Mallon | Corporate Officer | Apr 12, 2024 | |
| Corporate Director | Jan 1, 2018 | ||
| Jeffrey Borgert | Corporate Director | Jan 1, 2021 | |
| John D. Mahoney | Corporate Officer | Sep 5, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Fishers, IN
- NPI 1750357513
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 57
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Greenwood Village South
- Skilled Nursing Facility
- Greenwood, IN
- NPI 1790776128
Life Care Services LLC
-
- Skilled Nursing Facility
- West Lafayette, IN
- NPI 1497740633
Life Care Services LLC
-
dba Peabody Retirement Community
- Skilled Nursing Facility
- N Manchester, IN
- NPI 1861471849
Life Care Services LLC
-
dba The Pavilion at Brandon Wilde
- Skilled Nursing Facility
- Evans, GA
- NPI 1780450924
Life Care Services LLC
-
dba Burcham Hills Retirement Community
- Skilled Nursing Facility
- East Lansing, MI
- NPI 1659344844
Life Care Services LLC
-
dba Bellecourt South
- Skilled Nursing Facility
- Lubbock, TX
- NPI 1275524027
Life Care Services LLC
-
dba Casa de las Campanas
- Skilled Nursing Facility
- San Diego, CA
- NPI 1770566978
Life Care Services LLC
-
dba Freedom Village at Brandywine
- Skilled Nursing Facility
- Coatesville, PA
- NPI 1255342580
Life Care Services LLC
-
dba Lake Port Square Health Center
- Skilled Nursing Facility
- Leesburg, FL
- NPI 1073927331
Life Care Services LLC
-
dba Regency Oaks Health Center
- Skilled Nursing Facility
- Clearwater, FL
- NPI 1164836425
Life Care Services LLC
-
dba Harbour Health Center
- Skilled Nursing Facility
- Port Charlotte, FL
- NPI 1376957803
Life Care Services LLC
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566950400000",
"number": "1811970569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8140 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605824",
"telephone_number": "317-875-9700",
"fax_number": "317-875-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8140 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605824",
"telephone_number": "317-875-9700",
"fax_number": "317-875-7504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETIREMENT LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-28",
"last_updated": "2019-08-28",
"status": "A",
"authorized_official_last_name": "DETRUDE",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-573-3895"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "05-000105-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Restored Pieces LLC
- Restoring Families One Step at a Time, LLC
- Angela Marie Retana
- Rachel Retherford, PA
- Retina Institute, P.C.
- Retro Home Health Care Services, Inc. (Retro Home Care Services)
- Retro Home Health Care Services, LLP
- Retro Home Health Care Services,LLC
- Eric R Retrum, MD
- John R Retrum, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.