GREENWOOD VILLAGE SOUTH
NPI 1790776128
Skilled Nursing Facility in Greenwood, IN

Active since November 03, 2005CLIA 15D0883030 · Waiver
5/5
Overall Rating
295 VILLAGE LN, GREENWOOD, IN 46143(317) 865-4654(317) 859-4436 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2022, Apr 21, 2020, Jun 8, 2017 (3 updates tracked since 2017).

About Greenwood Village South NPPES

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

GREENWOOD VILLAGE SOUTH (NPI 1790776128) is a healthcare organization registered as a skilled nursing facility in Greenwood, Indiana and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Steven J Berkhouse, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790776128
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJOHNSON MEMORIAL HOSPITAL
Location Address295 VILLAGE LNGreenwood, IN 46143-2440
Mailing Address295 Village LnGreenwood, IN 46143-2440 · (317) 865-4654 · Fax (317) 859-4436
Fax(317) 859-4436
Organization SubpartNo
Authorized OfficialSteven J BerkhouseCfo · (317) 346-7939
Enumeration DateNovember 3, 2005
Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
NPI 1790776128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IN · 16-000010-1
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 04-000010-1 (IN)
295 VILLAGE LN, Greenwood, IN 46143

Other Names 1

Doing Business AsGreenwood Village South

Other Identifiers 1

Medicaid1000453660IN

Accepted 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 15D0883030

Greenwood Village South · Greenwood, IN
Active · expires Feb 21, 2028
CLIA Number15D0883030
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorPamela Seegers
Laboratory Phone(317) 859-4423
Laboratory LocationGreenwood Village South183 S Smock Drive, Greenwood, IN 46143
CLIA data matches this NPI record on: 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 Greenwood Village South (CMS certification number 155026), from CMS Care Compare.

Greenwood Village South

Nursing home · Greenwood, IN
5/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number155026
Certified Beds137 beds120 residents per day on average
Medicare & Medicaid Participant SinceAugust 5, 1969
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.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
12
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 2.74 · LPN 0.84 · RN 0.36
3.94 hrs per resident per day
Weekend Nurse Staffing
3.63 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
45.5%
Registered Nurse Turnover
46.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 6

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

Physical Therapist
295 VILLAGE LN
GREENWOOD, IN 46143
Occupational Therapy Assistant
295 VILLAGE LN
GREENWOOD, IN 46143
Speech-Language Pathologist
295 VILLAGE LN
GREENWOOD, IN 46143
Physical Therapist (Geriatrics)
295 VILLAGE LN
GREENWOOD, IN 46143
Speech-Language Pathologist
295 VILLAGE LN
GREENWOOD, IN 46143
Occupational Therapist
295 VILLAGE LN
GREENWOOD, IN 46143

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 Johnson Memorial Hospital's NPI number?

The NPI number for Johnson Memorial Hospital is 1790776128. It was assigned to this organization in the NPPES registry on November 3, 2005. The provider is doing business as Greenwood Village South.

Where is Johnson Memorial Hospital located?

Johnson Memorial Hospital is located at 295 Village Ln, Greenwood, IN 46143. The listed phone number is (317) 865-4654.

What is Johnson Memorial Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Johnson Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0883030) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Johnson Memorial Hospital a Medicare-certified nursing home?

Yes. Greenwood Village South is a Medicare-certified nursing home with 137 certified beds.

What quality rating does Johnson Memorial Hospital have?

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

What insurance does Johnson Memorial Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield list Johnson Memorial 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 Johnson Memorial Hospital was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.