PULASKI MEMORIAL HOSPITAL


Address: 6050 S Cr 800 E-92, Fort Wayne, IN 46814-9201
Phone: 2606253545

PULASKI MEMORIAL HOSPITAL (NPI# 1336548353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336548353
Entity Type Organization
Organization Name PULASKI MEMORIAL HOSPITAL
Other Organization Name MAJESTIC CARE OF WEST ALLEN
Practice Address 6050 S Cr 800 E-92
Fort Wayne
IN 46814-9201
Practice Telephone 2606253545
Practice Fax Number 2606254993
Mailing Telephone 2606253545
Mailing Fax Number 2606254993
Enumeration Date 2014-08-14
Last Update Date 2019-05-02
Authorized Official Name MR. GREGG A. MALOTT (DIRECTOR OF BUSINESS DEVELOPMENT)
Authorized Official Telephone 5749462100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 14-000215-1 IN Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Majestic Care of West Allen Doing Business As Name - Organization
Renaissance Village Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801205240 Pulaski Memorial Hospital Assisted Living Facility 5250 Heritage Pkwy, Fort Wayne, IN 46835-1061 2014-08-11
1881816148 Pulaski Memorial Hospital Nursing Facility/Intermediate Care Facility 505 North Gavin Street, Muncie, IN 47303 2007-05-03
1346263217 Pulaski Memorial Hospital Nursing Facility/Intermediate Care Facility 700 E 21st Ave, Gary, IN 46407 2006-07-25
1710930524 Pulaski Memorial Hospital Skilled Nursing Facility 624 E 13th St, Winamac, IN 46996-1117 2006-05-19
1306837869 Pulaski Memorial Hospital Skilled Nursing Facility 516 Williams St, Angola, IN 46703-1144 2005-11-03
1811987894 Pulaski Memorial Hospital Skilled Nursing Facility 643 West Utica Street, Sellersburg, IN 47172-1163 2005-10-21
1932196177 Pulaski Memorial Hospital Skilled Nursing Facility 1010 W Washington Center Rd, Ft Wayne, IN 46825-4155 2005-10-03
1376540310 Pulaski Memorial Hospital Home Health 616 E. 13th Street, Winamac, IN 46996-1117 2005-07-06
1346245271 Pulaski Memorial Hospital Nursing Facility/Intermediate Care Facility 801 Huntington Ave, Warren, IN 46792-9402 2005-06-16
1477556546 Pulaski Memorial Hospital Nursing Facility/Intermediate Care Facility 1180 W 500 N, Huntington, IN 46750-1661 2005-05-23

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PULASKI MEMORIAL HOSPITAL 616 E 13th St, Winamac, IN 46996-1117

Office Location

Street Address 6050 S CR 800 E-92
City FORT WAYNE
State IN
Zip Code 46814-9201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295256907 Kimberly Ann Bailey Social Worker 5310 Merchandise Dr., Fort Wayne, IN 46814 2017-07-03
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1376789420 Richard Frederick Fox Radiology 6226 Devils Hollow Rd., Fort Wayne, IN 46814 2008-12-19
1225287998 George W. Bowers Urology 12002 Haddington Court, Fort Wayne, IN 46814 2008-09-17
1588831986 Xue Zhang Family Medicine 10515 Illimois Rd, Fort Wayne, IN 46814 2008-05-14
1245449172 Charles S Lindzy Anesthesiology 14104 Peddlers Ford, Fort Wayne, IN 46814 2007-05-21
1043338999 Aboite Township Fire Dept In Ambulance 11321 Aboite Center Rd, Fort Wayne, IN 46814 2007-03-27
1588748206 Lisa Renee Vachon Chiropractor 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 2006-10-25
1962586685 Daniel Vern Velliquette Chiropractor 971 Chestnut Hills Parkway, Fort Wayne, IN 46814 2006-10-25
1336255801 Erica L Walworth Marriage & Family Therapist 412 S Scott Rd, Fort Wayne, IN 46814 2006-08-21
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy 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.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023487592 Lindsey Marie Fuller Skilled Nursing Facility 10603 Wild Flower Pl, Fort Wayne, IN 46845-1687 2015-09-15
1154766459 Major Hospital Skilled Nursing Facility 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 2013-05-01
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
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Competitor

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City FORT WAYNE
Zip Code 46814

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Dataset Information

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.

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