ADAMS COUNTY MEMORIAL HOSPITAL


Address: 6440 W 34th St, Indianapolis, IN 46224-1138
Phone: 3172934930

ADAMS COUNTY MEMORIAL HOSPITAL (NPI# 1376531681) 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) 1376531681
Entity Type Organization
Organization Name ADAMS COUNTY MEMORIAL HOSPITAL
Other Organization Name NORTHWEST MANOR HEALTH CARE CENTER
Practice Address 6440 W 34th St
Indianapolis
IN 46224-1138
Practice Telephone 3172934930
Practice Fax Number 3175542191
Mailing Telephone 3172934930
Mailing Fax Number 3175542191
Enumeration Date 2005-10-11
Last Update Date 2013-03-06
Authorized Official Name MR. DANE WHEELER (CFO/TREASURER)
Authorized Official Telephone 2607242145
Authorized Official Credential CPA
Is Organization Subpart Y
Parent Organization Name ADAMS COUNTY MEMORIAL HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 343900000X Non-emergency Medical Transport (VAN) 200917040A IN Transportation Services
Y 314000000X Skilled Nursing Facility IN000015 IN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN 100273750 05

Other Provider/Organization Names

Other Name Type Code
NORTHWEST MANOR HEALTH CARE CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891031480 Adams County Memorial Hospital Skilled Nursing Facility 1350 West Main Street, Berne, IN 46711-1794 2012-12-31
1134493281 Adams County Memorial Hospital Nursing Facility/Intermediate Care Facility 9802 Coldwater Road, Fort Wayne, IN 46825 2012-03-06
1982729604 Adams County Memorial Hospital Nursing Facility/Intermediate Care Facility 6996 S Us 421, Versailles, IN 47042-9390 2007-03-20
1760519268 Adams County Memorial Hospital Skilled Nursing Facility 12011 Whittern Rd, Monroeville, IN 46773-9126 2007-02-28
1356476154 Adams County Memorial Hospital Skilled Nursing Facility 1300 Mercer Ave, Decatur, IN 46733-2407 2007-02-22
1477699460 Adams County Memorial Hospital Skilled Nursing Facility 200 West Fourth Dtreet, Oaktown, IN 47561-8081 2007-01-29
1235205816 Adams County Memorial Hospital Skilled Nursing Facility 520 W 9th Street, Jasper, IN 47546-2711 2006-11-27
1659454148 Adams County Memorial Hospital Skilled Nursing Facility 9325 N. Crawford Streeet, Knightsville, IN 47857-0170 2006-10-20
1366531907 Adams County Memorial Hospital Assisted Living Facility 400 Caylor Boulevard, Bluffton, IN 46714-8805 2006-10-12
1821185356 Adams County Memorial Hospital Skilled Nursing Facility 17475 Dugdale Dr, South Bend, IN 46635-1545 2006-10-06

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ADAMS COUNTY MEMORIAL HOSPITAL 1100 Mercer Ave, Decatur, IN 46733-2303

Office Location

Street Address 6440 W 34TH ST
City INDIANAPOLIS
State IN
Zip Code 46224-1138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124654579 Karen Ma Hunt Physical Therapist 6440 W 34th St, Indianapolis, IN 46224-1138 2020-03-18
1720618325 Rachel Stephens Occupational Therapist 6440 W 34th St, Indianapolis, IN 46224-1138 2020-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679050033 O&a Homecare Services, LLC Home Health Aide 2307 Hermitage Ct Apt 709, Indianapolis, IN 46224 2018-07-27
1760976039 Felecia Shelby Home Health 1850 Foyt Drive Apt D, Indianapolis, IN 46224 2018-06-19
1154832020 Wendy A Booker Nurse Practitioner 1011 Main St Ste 140, Indianapolis, IN 46224 2017-10-19
1720439516 Adam Kyle Craig Counselor 5610 Crawfordsville Rd., Suite 2201, Indianapolis, IN 46224 2016-06-23
1407223506 Gouri Chitalapudi Physical Therapist 819 Auburn Hill Dr Apt C, Indianapolis, IN 46224 2015-08-25
1710266770 Starr Angeline Song Contractor 2819 Embassy Row, 819, Indianapolis, IN 46224 2011-08-09
1699075739 Accuquest Hearing Centers, LLC Clinic/Center 5620 Crawfordsville Road, Suite Q, Speedway, IN 46224 2010-10-22
1659549962 Guy Elliot Lovell Sr. Social Worker 25 Beachway Drive, Suite C, Indianapolis, IN 46224 2008-02-20
1316128614 Indianapolis Independent Pediatricians, P.C. Pediatrics 777 Beachway Drive, Suite 210, Indianapolis, IN 46224 2007-11-15
1568673119 Speedway Optical Eyewear Supplier (Equipment, not the service) 1602 Cunningham Dr, Indianapolis, IN 46224 2007-05-25
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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
1619337839 Hancock Regional Hospital Skilled Nursing Facility 4904 War Admiral Dr, Indianapolis, IN 46237-9737 2016-03-01
1568881480 Rabecca Howard Skilled Nursing Facility 5404 Georgetown Rd, Indianapolis, IN 46254-3781 2014-04-08
1972939361 Witham Memorial Hospital Skilled Nursing Facility 8405 Clearvista Pl, Indianapolis, IN 46256-3737 2013-09-18
1396171781 Witham Memorial Hospital Skilled Nursing Facility 1635 N Arlington Ave, Indianapolis, IN 46218-5181 2013-09-18
1790051563 Theracare Skilled Nursing Facility 5356 Holly Springs Ct, Indianapolis, IN 46254 2012-03-27
1710205141 Riverview Hospital Skilled Nursing Facility 3525 East Hanna Avenue, Indianapolis, IN 46237 2010-05-10
1619176641 Witham Memorial Hospital Skilled Nursing Facility 9480 Priority Way West Dr, Indianapolis, IN 46240-1470 2007-07-11
1730384009 Hp Pleasant Run, Inc. Skilled Nursing Facility 7465 Madison Ave, Indianapolis, IN 46227-6564 2007-06-18
1013133776 Daviess County Hospital Skilled Nursing Facility 2926 N. Capitol Ave, Indianapolis, IN 46208-0356 2007-04-18
1952452815 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 2630 S Keystone Ave, Indianapolis, IN 46203 2007-01-16
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46224

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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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