Retirement Living, Inc.
Organization Active NPI Skilled Nursing Facility · Indianapolis, IN
NPI 1811970569 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1811970569
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 05-000105-1 (IN)
- 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
- Organization subpart
- No
Authorized official
- Name
- Keith J Detrude
- Title
- President
- Phone
- (317) 573-3895
Owners & managing parties with NPI records 1
Facilities with the same owner 57
Affiliated clinicians 4
-
Anne N Knox, MD
Medicare Care Compare: Nursing home
- Listed as
- Marquette
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jun 2, 1981
- Medicare certification status
- Active
- Certified beds
- 57 · 53.2 residents per day on average
- Chain
- Life Care Services
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0881669 | Marquette | Certificate of waiver | Jan 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
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 · Non-profit
- Enrollment address
- 8140 Township Line Rd
Indianapolis, IN 46260-5824 - Nursing home name
- MARQUETTE
- Affiliated entity
- LIFE CARE SERVICES
All disclosed owners & managing parties 20
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141215001084 | IN | Part a Provider - Skilled Nursing Facility | 7517877194 | Practice locations: Indianapolis, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 05-000105-1 | IN | Yes |
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
NPI Registry JSON
{
"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": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2019. 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.