GRACE VILLAGE HEALTH CARE FACILITY
NPI 1285723734
Nursing Facility/Intermediate Care Facility in Winona Lake, IN

Q: What is Woodlawn Hospital's NPI number?

The NPI number for Woodlawn Hospital is 1285723734. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Grace Village Health Care Facility.

Q: What is Woodlawn Hospital's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: What quality rating does Woodlawn Hospital have?

CMS rates Grace Village Health Care Facility 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Q: When was this NPI record last updated?

The NPPES record for Woodlawn Hospital was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2006CLIA 15D0647418 · Waiver

4/5

Overall Rating

337 GRACE VILLAGE DR, WINONA LAKE, IN 46590(574) 372-6200(574) 372-6386 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grace Village Health Care Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE VILLAGE HEALTH CARE FACILITY (NPI 1285723734) is a healthcare organization registered as a nursing facility/intermediate care facility in Winona Lake, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Alley, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1285723734

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameWOODLAWN HOSPITAL

Location Address337 GRACE VILLAGE DRWinona Lake, IN 46590-5774

Mailing Address337 Grace Village DrWinona Lake, IN 46590-5774 · (574) 372-6200 · Fax (574) 372-6386

Phone(574) 372-6200

Fax(574) 372-6386

Organization SubpartNo

Authorized OfficialJohn AlleyPresident/ceo · (574) 223-3141

Enumeration DateOctober 12, 2006

Last NPPES UpdateNovember 25, 2013

✔ NPI 1285723734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in IN · 060005011

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License 060005011 (IN)

Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 060005011 (IN)

337 GRACE VILLAGE DR, Winona Lake, IN 46590

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Other Names 1

Doing Business AsGrace Village Health Care Facility

Other Identifiers 4

Medicaid100266260AIN

Other000000097895IN · Anthem Pin Number

Medicare ID-Type Unspecified155635IN · Provider Number

Other2297IN · Rba Home Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0647418

Dba Grace Village Health Care Facility Woodlawn Hospital · Winona Lake, IN

Active · expires Aug 31, 2026

CLIA Number15D0647418

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorNicole Kubley

Laboratory Phone(574) 372-6100

Laboratory LocationDba Grace Village Health Care Facility Woodlawn Hospital337 Grace Village Dr, Winona Lake, IN 46590

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Grace Village Health Care Facility (CMS certification number 155635), from CMS Care Compare.

Grace Village Health Care Facility

Nursing home · Winona Lake, IN

4/5 CMS Overall Rating

OwnershipGovernment - County

CMS Certification Number155635

Certified Beds89 beds47 residents per day on average

Medicare & Medicaid Participant SinceAugust 11, 1997

Resident & Family CouncilResident council

Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

4/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

21.33

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 3.02 · LPN 1.2 · RN 0.5

4.72 hrs per resident per day

Weekend Nurse Staffing

4.09 hrs per resident per day

Physical Therapist Staffing

0.08 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

52.3%

Registered Nurse Turnover

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

3 totaling $20,150.00

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HELENE MARIE MCNULTY O.T.

Occupational Therapist

337 GRACE VILLAGE DR
WINONA LAKE, IN 46590

Kosciusko County (574) 372-6372

NATIONAL FELLOWSHIP BRETHREN RETIREMENT HOMES, INC.

Voluntary or Charitable

337 GRACE VILLAGE DR
WINONA LAKE, IN 46590

Kosciusko County (574) 372-6498

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodlawn Hospital's NPI number?

The NPI number for Woodlawn Hospital is 1285723734. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Grace Village Health Care Facility.

Where is Woodlawn Hospital located?

Woodlawn Hospital is located at 337 Grace Village Dr, Winona Lake, IN 46590. The listed phone number is (574) 372-6200.

What is Woodlawn Hospital's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Woodlawn Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0647418) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Woodlawn Hospital a Medicare-certified nursing home?

Yes. Grace Village Health Care Facility is a Medicare-certified nursing home with 89 certified beds.

What quality rating does Woodlawn Hospital have?

CMS rates Grace Village Health Care Facility 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Woodlawn Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield list Woodlawn Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Woodlawn Hospital was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.