HANCOCK REGIONAL HOSPITAL (NPI# 1477994754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477994754 |
| Entity Type | Organization |
| Organization Name | HANCOCK REGIONAL HOSPITAL |
| Other Organization Name | GREAT LAKES HEALTHCARE CENTER |
| Practice Address |
2300 Great Lakes Dr Dyer IN 46311-1917 |
| Practice Telephone | 2193223555 |
| Practice Fax Number | 2193222292 |
| Mailing Telephone | 2193223555 |
| Mailing Fax Number | 2193222292 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | STEVEN LONG (PRESIDENT/CEO) |
| Authorized Official Telephone | 3174625544 |
| 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 | 100266720C | 05 |
| Other Name | Type Code |
|---|---|
| Great Lakes Healthcare Center | 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 |
2300 GREAT LAKES DR |
| City | DYER |
| State | IN |
| Zip Code | 46311-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669629143 | Melissa Anne Wellever | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-08-26 |
| 1124500897 | Dawn Woodward | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-30 |
| 1598246340 | James Cunningham | Physical Therapist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-28 |
| 1871074963 | April Moran | Speech-Language Pathologist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-27 |
| 1275014375 | Mary Francine Davidson I | Speech-Language Pathologist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2018-08-27 |
| 1881844983 | Beth Bender | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-09-25 |
| 1659520799 | Theresa Clark | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-09-12 |
| 1144478405 | Tameka Malone | Speech-Language Pathologist | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| 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 |
|---|---|---|---|---|
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1316063977 | Major Hospital | Skilled Nursing Facility | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2007-03-22 |
| 1841332855 | Dyer Nursing Home, Inc. | Skilled Nursing Facility | 1124 North Main, Dyer, TN 38330-0160 | 2007-02-13 |
| 1508251760 | Symphony of Dyer LLC | Skilled Nursing Facility | 1532 Calumet Ave, Dyer, IN 46311 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1427548270 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Skilled Nursing Facility | 3104 Blackiston Boulevard, New Albany, IN 47150-9579 | 2018-05-17 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
| 1245787076 | Sara Steffe | Skilled Nursing Facility | 1015 Virginia St, Ferdinand, IN 47532-9285 | 2016-09-09 |
| 1770030504 | Valerie Burdette | Skilled Nursing Facility | 1872 E County Road 825 S, Oakland City, IN 47660-8911 | 2016-09-09 |
| 1205286507 | Christina Basham | Skilled Nursing Facility | 710 Bluffview Dr, Angola, IN 46703-2206 | 2016-06-16 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
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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.