MAJOR HOSPITAL (NPI# 1154766459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154766459 |
| Entity Type | Organization |
| Organization Name | MAJOR HOSPITAL |
| Other Organization Name | GREY STONE HEALTH & REHABILITATION CENTER |
| Practice Address |
10445 Dupont Oaks Blvd Fort Wayne IN 46845-8792 |
| Mailing Address |
26691 Richmond Rd Bedford Heights OH 44146-1421 |
| Practice Telephone | 2604714770 |
| Practice Fax Number | 2604714072 |
| Mailing Telephone | 2162925706 |
| Mailing Fax Number | 2162922273 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | JOHN M HORNER (PRESIDENT & CEO) |
| Authorized Official Telephone | 3173985252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201207690 A | 05 |
| Other Name | Type Code |
|---|---|
| Grey Stone Health & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1164885372 | Major Hospital | Skilled Nursing Facility | 5805 N. Fir Rd., Granger, IN 46530-4750 | 2016-04-04 |
| 1700256492 | Major Hospital | Skilled Nursing Facility | 616 Green House Way, Carmel, IN 46032 | 2015-10-07 |
| 1568735694 | Major Hospital | Skilled Nursing Facility | 614 W 14th Street, Marion, IN 46953-2158 | 2012-02-21 |
| 1316169857 | Major Hospital | Skilled Nursing Facility | 140 West Washington St, Morgantown, IN 46160 | 2007-05-03 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1255457826 | Major Hospital | Skilled Nursing Facility | 5025 Mccook Ave, East Chicago, IN 46312 | 2007-03-22 |
| 1316063977 | Major Hospital | Skilled Nursing Facility | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2007-03-22 |
| 1588708325 | Major Hospital | Skilled Nursing Facility | 313 Poplar St, Loogootee, IN 47553-2423 | 2007-02-16 |
| 1023152857 | Major Hospital | Skilled Nursing Facility | 12802 E Us Highway 50, Loogootee, IN 47553-5210 | 2007-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAJOR HOSPITAL | 2451 Intelliplex Dr, Shelbyville, IN 46176-8580 |
| Street Address |
10445 DUPONT OAKS BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-8792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740747922 | Rachelle Lynn Ray | Physical Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2019-02-25 |
| 1134646086 | Tiffany Jacqueline Salas | Occupational Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2017-08-22 |
| 1598204000 | Jamie Lynn Wagner | Physical Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2017-02-16 |
| 1497123780 | Lauren Therese Seculoff | Speech-Language Pathologist | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2015-09-03 |
| 1427454792 | Jennifer Powelson | Occupational Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2014-11-13 |
| 1841695525 | Michelle Mckuras | Physical Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2014-10-24 |
| 1629471248 | Tondalaya Bedwell | Specialist | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2014-09-28 |
| 1639585516 | Brenda Horn | Physical Therapist | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023487592 | Lindsey Marie Fuller | Skilled Nursing Facility | 10603 Wild Flower Pl, Fort Wayne, IN 46845-1687 | 2015-09-15 |
| 1336548353 | Pulaski Memorial Hospital | Skilled Nursing Facility | 6050 S Cr 800 E-92, Fort Wayne, IN 46814-9201 | 2014-08-14 |
| 1326310400 | Riverview Hospital | Skilled Nursing Facility | 4111 Park Place Drive, Fort Wayne, IN 46845-8793 | 2012-02-03 |
| 1710280888 | Kelly Michelle Wood | Skilled Nursing Facility | 8528 Killeen Run, Fort Wayne, IN 46835-9657 | 2010-12-13 |
| 1194940205 | Recovery Health Services, Inc | Skilled Nursing Facility | 12101 Lima Rd, Fort Wayne, IN 46818-8903 | 2007-04-16 |
| 1871623041 | Henry County Memorial Hospital | Skilled Nursing Facility | 1400 Medical Park Dr, Fort Wayne, IN 46825-5832 | 2007-03-06 |
| 1740315878 | Henry County Memorial Hospital | Skilled Nursing Facility | 5700 Wilkie Dr, Fort Wayne, IN 46804-1662 | 2007-02-22 |
| 1326180803 | Woodlawn Hospital | Skilled Nursing Facility | 3136 Goeglein Rd, Fort Wayne, IN 46815-6685 | 2007-02-13 |
| 1528130432 | Indiana Health & Rehabilitation Center | Skilled Nursing Facility | 3811 Parnell Ave, Fort Wayne, IN 46805-1409 | 2006-11-15 |
| 1255441663 | Bhi Senior Living, Inc. | Skilled Nursing Facility | 2209 Saint Joe Center Rd, Fort Wayne, IN 46825-5061 | 2006-08-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.