HANCOCK REGIONAL HOSPITAL (NPI# 1417991415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417991415 |
| Entity Type | Organization |
| Organization Name | HANCOCK REGIONAL HOSPITAL |
| Other Organization Name | WATERFORD CROSSING |
| Practice Address |
1332 Waterford Cir Goshen IN 46526-6009 |
| Mailing Address |
Po Box 221648 Louisville KY 40252-1648 |
| Practice Telephone | 5745343920 |
| Practice Fax Number | 5745347548 |
| Mailing Telephone | (502) 412-5847 |
| Mailing Fax Number | 5028558708 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | STEVEN V. LONG (PRESIDENT & CEO) |
| Authorized Official Telephone | 3174625544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | 17-011150-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200831020 | 05 | |
| IN | 200831020A | 05 |
| Other Name | Type Code |
|---|---|
| Waterford Crossing | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619337839 | Hancock Regional Hospital | Skilled Nursing Facility | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2016-03-01 |
| 1831589498 | Hancock Regional Hospital | Skilled Nursing Facility | 14751 Carey Rd, Carmel, IN 46033-9084 | 2015-02-03 |
| 1952726663 | Hancock Regional Hospital | Skilled Nursing Facility | 18275 S Burr St, Lowell, IN 46356-0020 | 2014-03-04 |
| 1255753141 | Hancock Regional Hospital | Skilled Nursing Facility | 2222 E Margaret Dr, Terre Haute, IN 47802-3339 | 2014-01-10 |
| 1700207800 | Hancock Regional Hospital | General Acute Care Hospital | 300 E Boyd Ave Ste 130, Greenfield, IN 46140-2818 | 2013-12-17 |
| 1821427857 | Hancock Regional Hospital | Skilled Nursing Facility | 52565 Sr 933, South Bend, IN 46637 | 2013-11-12 |
| 1245674423 | Hancock Regional Hospital | Skilled Nursing Facility | 937 E 186th St, Westfield, IN 46074-7827 | 2013-04-18 |
| 1922358837 | Hancock Regional Hospital | Assisted Living Facility | 60257 Bodnar Blvd, Mishawaka, IN 46544-9342 | 2012-09-18 |
| 1043582554 | Hancock Regional Hospital | Skilled Nursing Facility | 2400 Silhavy Road, Valparaiso, IN 46383-3275 | 2012-01-30 |
| 1700118262 | Hancock Regional Hospital | Skilled Nursing Facility | 1750 S Creasy Ln, Lafayette, IN 47905-4911 | 2010-02-09 |
| Street Address |
1332 WATERFORD CIR |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225570674 | Aditi Dawar | Physical Therapist | 1332 Waterford Cir, Goshen, IN 46526-6009 | 2016-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| 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 |
|---|---|---|---|---|
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1093090730 | Wanda Bontrager | Skilled Nursing Facility | 404 Mount Vernon Dr, Goshen, IN 46526-1432 | 2011-10-13 |
| 1376608679 | Elant At Goshen, Inc. | Skilled Nursing Facility | 46 Harriman Drive, Goshen, NY 10924-2410 | 2006-12-27 |
| 1235294547 | Glen Arden, Inc. | Skilled Nursing Facility | 214 Harriman Drive, Goshen, NY 10924-2410 | 2006-12-27 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 1154321669 | Americare Living of Goshen | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2005-07-26 |
| 1770586554 | Woodlawn Hospital | Skilled Nursing Facility | 1225 Greencroft Dr, Goshen, IN 46526-5102 | 2005-05-24 |
| 1720523954 | Goshen Operations LLC | Skilled Nursing Facility | 46 Harriman Dr, Goshen, NY 10924-2410 | 2016-12-26 |
| 1639479108 | Courtyard Rehabilitation Center, Inc | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2010-10-29 |
| 1164588315 | Lrc Management LLC, Dba The Courtyard of Goshen | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2006-12-29 |
| Find all providers in GOSHEN | ||||
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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.