NPIMap

Organization Active NPI

Woodlawn Hospital

Doing business as Peabody Retirement Community

  • Skilled Nursing Facility
  • N Manchester, IN
National Provider Identifier
1861471849
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050004851 Issued in IN
Legal business name
WOODLAWN HOSPITAL
Doing business as
Peabody Retirement Community
Practice address
400 W 7TH St
N Manchester, IN 46962-1199
Phone
(260) 982-8616
Fax
(260) 982-8657
NPI assigned
Jan 10, 2006
Last updated
Jun 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
John Alley
Title
President/Ceo
Phone
(574) 223-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 050004851 IN Primary

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 names 1

  • Peabody Retirement Community Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325000065 IN Part A Provider - Skilled Nursing Facility 4082506993 Practice locations: North Manchester, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861471849. Details of each certification follow.

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
OtherNon-profit
Enrollment address
400 W 7TH St
North Manchester, IN 46962-1199
Nursing home name
PEABODY RETIREMENT COMMUNITY

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Care Compare: Nursing home

Medicare Care Compare
Listed as
Peabody Retirement CommunityCCN 155655 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
192174.5 residents per day on average
Penalties (3 years)
2Fines totaling $22,071

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0358911Peabody Retirement Community400 W 7TH St, North Manchester, IN 46962Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Woodlawn Hospital26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & 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.

NameRoleSinceShare
Alison M Heyde Individual Managing Control - Governing BodyBoard Member Sep 1, 2019
Trustee of the SNF Sep 9, 2019
Alan Jay Fisher Individual Operational/Managerial Control Jun 13, 2022
Managing Control - Governing BodyPresident and Ceo Jun 13, 2022
Brandon Miller Individual Managing Control - Governing BodyBoard Member Apr 7, 2025
Trustee of the SNF Apr 7, 2025
Terri L Johnson Individual Managing Control - Governing BodyBoard Member Jun 13, 2022
Trustee of the SNF Jun 13, 2022
Allen County Internal Medicine Organization, Fort Wayne, IN Medical provider/supplier Adp of the SNF Jul 1, 2015
Stephen Sokolow Individual Operational/Managerial Control Dec 12, 2022
Adp of the SNF Dec 12, 2022
Ar Solutions LLC Organization, N Fort Myers, FL LLC, Consulting firm Adp of the SNF Nov 1, 2024
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Oct 31, 2014
Woodlawn Hospital Organization, Rochester, IN 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 Organization, North Manchester, IN Corporation, Medical provider/supplier, Non-profit Operational/Managerial Control Oct 31, 2014
Adp of the SNF Oct 31, 2014
Katie Robinson Individual Operational/Managerial Control Apr 10, 2023
Adp of the SNF Apr 10, 2023
Harry Webb Individual Managing Control - Governing BodyBoard Member Oct 15, 2023
Trustee of the SNF Oct 15, 2023
All Points Management LLC Organization, Wabash, IN LLC, Management services company Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Samuel Feuer Individual Operational/Managerial Control Dec 12, 2022
Todd Topliff Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Gregory Lee Mellinger Individual Managing Control - Governing BodyBoard Member Jun 13, 2022
Trustee of the SNF Jun 13, 2022
Rutvik Patel Individual Operational/Managerial Control Jul 1, 2014
Adp of the SNF Jul 1, 2015
Larry Katz Individual Operational/Managerial Control Dec 12, 2022
Glen W Bode Individual Managing Control - Governing BodyBoard Member Dec 9, 2022
Trustee of the SNF Dec 9, 2022
Kendra Chudzynski Individual Managing Control - Governing BodyBoard Member Oct 15, 2024
Trustee of the SNF Oct 15, 2024

Owners & managing parties with NPI records 17

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

  • Rutvik S. Patel, M.D.
    • Internal Medicine Physician
    • Fort Wayne, IN
    • NPI 1275567166

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Timbercrest Church of the Brethren Home

    • Skilled Nursing Facility
    • North Manchester, IN
    • NPI 1073557617

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital
    • Skilled Nursing Facility
    • South Bend, IN
    • NPI 1184604233

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Oak Grove Christian Retirement Village

    • Skilled Nursing Facility
    • Demotte, IN
    • NPI 1235113945

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Shafer Medical Center

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1265095988

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital
    • Critical Access Hospital
    • Rochester, IN
    • NPI 1265413405

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Grace Village Health Care Facility

    • Nursing Facility/Intermediate Care Facility
    • Winona Lake, IN
    • NPI 1285723734

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Golden Years Homestead

    • Skilled Nursing Facility
    • Fort Wayne, IN
    • NPI 1326180803

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Wesley Manor Health Center

    • Nursing Facility/Intermediate Care Facility
    • Frankfort, IN
    • NPI 1548241045

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital
    • Medicare Defined Swing Bed Hospital Unit
    • Rochester, IN
    • NPI 1548396534

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Argos Medical Center

    • Family Medicine Physician
    • Argos, IN
    • NPI 1639241227

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1699338574

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
View all 17

All facility ownership & control disclosures 15

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

FacilityTypeRoleSince
Woodlawn HospitalRochester, IN, CCN 151313 Hospital Operational/Managerial Control Jan 8, 2010
Woodlawn HospitalRochester, IN, CCN 15Z313 Hospital Operational/Managerial Control Jan 8, 2010
Grace Village Health Care FacilityWinona Lake, IN, CCN 155635 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 May 1, 2013
May 28, 2025
Wesley Manor Health CenterFrankfort, IN, CCN 155658 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 HomeNorth Manchester, IN, CCN 155740 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Greencroft HealthcareGoshen, IN, CCN 155205 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Hamilton GroveNew Carlisle, IN, CCN 155672 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2015
Dec 8, 2025
Southfield VillageSouth Bend, IN, CCN 155684 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Oak Grove Christian Retirement VillageDemotte, IN, CCN 155667 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 HomesteadFort Wayne, IN, CCN 155755 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2018
Woodlawn Medical ProfessionalsRochester, IN, CCN 158552 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Argos Medical CenterArgos, IN, CCN 158548 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Akron Medical CenterAkron, IN, CCN 158547 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Shafer Medical ClinicRochester, IN, CCN 158551 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Jan 1, 2012
Fulton County Medical ClinicRochester, IN, CCN 158550 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Woodlawn Hospital

    dba Timbercrest Church of the Brethren Home

    • Skilled Nursing Facility
    • North Manchester, IN
    • NPI 1073557617

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital
    • Skilled Nursing Facility
    • South Bend, IN
    • NPI 1184604233

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Oak Grove Christian Retirement Village

    • Skilled Nursing Facility
    • Demotte, IN
    • NPI 1235113945

    5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Shafer Medical Center

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1265095988

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital
    • Critical Access Hospital
    • Rochester, IN
    • NPI 1265413405

    Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Grace Village Health Care Facility

    • Nursing Facility/Intermediate Care Facility
    • Winona Lake, IN
    • NPI 1285723734

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Golden Years Homestead

    • Skilled Nursing Facility
    • Fort Wayne, IN
    • NPI 1326180803

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Wesley Manor Health Center

    • Nursing Facility/Intermediate Care Facility
    • Frankfort, IN
    • NPI 1548241045

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital
    • Medicare Defined Swing Bed Hospital Unit
    • Rochester, IN
    • NPI 1548396534

    Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1699338574

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Akron Medical Center

    • Rural Health Clinic/Center
    • Akron, IN
    • NPI 1710540695

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Hamilton Grove

    • Nursing Facility/Intermediate Care Facility
    • New Carlisle, IN
    • NPI 1730174434

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
View all 15

Facilities with the same owner 72

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

View all 72

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1861471849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "N MANCHESTER",
            "state": "IN",
            "postal_code": "469621199",
            "telephone_number": "260-982-8616",
            "fax_number": "260-982-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "N MANCHESTER",
            "state": "IN",
            "postal_code": "469621199",
            "telephone_number": "260-982-8616",
            "fax_number": "260-982-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "574-223-3141"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "050004851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peabody Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Manchester, IN

Sources for this page

Verify at the official NPI Registry.