Woodlawn Hospital
Organization Active NPI Skilled Nursing Facility · N Manchester, IN
NPI 1861471849 · NPPES record last updated Jun 2, 2015
Key facts
- NPI
- 1861471849
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 050004851 (IN)
- Legal business name
- WOODLAWN HOSPITAL
- Practice address
- 400 W 7TH St
N Manchester, IN 46962-1199 - Phone
- (260) 982-8616
- Fax
- (260) 982-8657
- NPI assigned
- Jan 10, 2006
- Organization subpart
- No
Authorized official
- Name
- John Alley
- Title
- President/Ceo
- Phone
- (574) 223-3141
Owners & managing parties with NPI records 17
-
Rutvik S. Patel, M.D.
Owned or controlled facilities with NPI records 15
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 25
Facilities with the same owner 72
Practitioners 30
-
James Timothy Aldridge, D.O.
-
Omazonna Amadi, MD
-
Leigh Barts, FNP-C
-
Joseph Peter Binfet, M.D.
-
Michael J Brubaker, D.O.
-
Keri Rae Federspiel, FNP
-
Jerrod A Feldman, MD
-
Kelly Ann Friar, PA-C
-
Shannon Michelle Guckien, FNP-BC
-
Monzur Haque, M.D.
-
Kelsey Heckaman, FNP
-
Jennifer Hensley, FNP
-
Gina L Moore, FNP
-
Janell Nicole Mulligan, FNP-C
-
John E Nile, D.O.
-
Kevin O'Brien, MD
-
Teresa Marie Perkins, APRN, BC
-
Eric Rindlisbacher, DPM
-
Elizabeth Rodriguez, FNP-BC
-
Debra F Sanders, MD
-
Brigitte R Selio, MD
Affiliated clinicians 3
-
Pamela S Higgins, MD
-
Andrew Joseph Offerle, M.D.
-
Rutvik S. Patel, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Peabody Retirement Community
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 15, 1998
- Medicare certification status
- Active
- Certified beds
- 192 · 174.5 residents per day on average
- Penalties (3 years)
- 2 · fines totaling $22,071
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0358911 | Peabody Retirement Community | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155655
- Legal name
- WOODLAWN HOSPITAL
- Doing business as
- PEABODY RETIREMENT COMMUNITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 15, 1998
- Last certification
- Apr 9, 2025
- Beds
- 336 (192 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Other · Non-profit
- Enrollment address
- 400 W 7TH St
North Manchester, IN 46962-1199 - Nursing home name
- PEABODY RETIREMENT COMMUNITY
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Alison M Heyde |
Managing Control - Governing Body |
Sep 1, 2019 | |
| Trustee of the SNF | Sep 9, 2019 | ||
| Alan Jay Fisher |
Operational/Managerial Control | Jun 13, 2022 | |
| Managing Control - Governing Body |
Jun 13, 2022 | ||
| Brandon Miller |
Managing Control - Governing Body |
Apr 7, 2025 | |
| Trustee of the SNF | Apr 7, 2025 | ||
| Terri L Johnson |
Managing Control - Governing Body |
Jun 13, 2022 | |
| Trustee of the SNF | Jun 13, 2022 | ||
| Allen County Internal Medicine |
Adp of the SNF | Jul 1, 2015 | |
| Stephen Sokolow |
Operational/Managerial Control | Dec 12, 2022 | |
| Adp of the SNF | Dec 12, 2022 | ||
| Ar Solutions LLC |
Adp of the SNF | Nov 1, 2024 | |
| Life Care Services LLC |
Operational/Managerial Control | Oct 31, 2014 | |
| Woodlawn Hospital |
5% Or Greater Direct Ownership Interest | Oct 31, 2014 | 100% |
| Adp of the SNF | Dec 17, 2025 | ||
| The Estelle Peabody Memorial Home of the Synod of Lincoln Trails of Un |
Operational/Managerial Control | Oct 31, 2014 | |
| Adp of the SNF | Oct 31, 2014 | ||
| Katie Robinson |
Operational/Managerial Control | Apr 10, 2023 | |
| Adp of the SNF | Apr 10, 2023 | ||
| Harry Webb |
Managing Control - Governing Body |
Oct 15, 2023 | |
| Trustee of the SNF | Oct 15, 2023 | ||
| All Points Management LLC |
Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Samuel Feuer |
Operational/Managerial Control | Dec 12, 2022 | |
| Todd Topliff |
Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Gregory Lee Mellinger |
Managing Control - Governing Body |
Jun 13, 2022 | |
| Trustee of the SNF | Jun 13, 2022 | ||
| Rutvik Patel |
Operational/Managerial Control | Jul 1, 2014 | |
| Adp of the SNF | Jul 1, 2015 | ||
| Larry Katz |
Operational/Managerial Control | Dec 12, 2022 | |
| Glen W Bode |
Managing Control - Governing Body |
Dec 9, 2022 | |
| Trustee of the SNF | Dec 9, 2022 | ||
| Kendra Chudzynski |
Managing Control - Governing Body |
Oct 15, 2024 | |
| Trustee of the SNF | Oct 15, 2024 |
All facility ownership & control disclosures 15
| Facility | Type | Role | Since |
|---|---|---|---|
| Woodlawn Hospital |
Hospital | Operational/Managerial Control | Jan 8, 2010 |
| Woodlawn Hospital |
Hospital | Operational/Managerial Control | Jan 8, 2010 |
| Grace Village Health Care Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
May 1, 2013 May 28, 2025 |
| Wesley Manor Health Center |
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 Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2014 |
| Greencroft Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2015 |
| Hamilton Grove |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2015 Dec 8, 2025 |
| Southfield Village |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2015 |
| Oak Grove Christian Retirement Village |
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 Homestead |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2018 |
| Woodlawn Medical Professionals |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Aug 1, 2013 |
| Argos Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Aug 1, 2013 |
| Akron Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Aug 1, 2013 |
| Shafer Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Jan 1, 2012 |
| Fulton County Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2012 Aug 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150325000065 | IN | Part a Provider - Skilled Nursing Facility | 4082506993 | Practice locations: North Manchester, IN |
National Provider Directory
- Tax ID family
- Akron Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 050004851 | IN | Yes |
Addresses
Primary practice location
400 W 7TH St
N Manchester, IN 46962-1199
Mailing address
400 W 7TH St
N Manchester, IN 46962-1199
Phone (260) 982-8616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100291190A | Medicaid | IN |
Other names
- Peabody Retirement Community
Other providers in N Manchester, IN
All providers in N Manchester, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2015. 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.