HANCOCK REGIONAL HOSPITAL (NPI# 1619337839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619337839 |
| Entity Type | Organization |
| Organization Name | HANCOCK REGIONAL HOSPITAL |
| Other Organization Name | SOUTHPOINTE HEALTHCARE CENTER |
| Practice Address |
4904 War Admiral Dr Indianapolis IN 46237-9737 |
| Practice Telephone | 3178853333 |
| Practice Fax Number | 3178833221 |
| Mailing Telephone | 3178853333 |
| Mailing Fax Number | 3178833221 |
| Enumeration Date | 2016-03-01 |
| 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 | 201256070A | 05 |
| Other Name | Type Code |
|---|---|
| SouthPointe Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1326223264 | Hancock Regional Hospital | Skilled Nursing Facility | 4100 N Morrison Rd, Muncie, IN 47304-6043 | 2008-01-09 |
| Street Address |
4904 WAR ADMIRAL DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-9737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376025932 | Matthew Durcholz | Physical Therapist | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2018-08-30 |
| 1548741101 | Tasheena Tanee Krishna | Physical Therapist | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2018-08-22 |
| 1629558341 | Kiersten Levell | Occupational Therapist | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2018-08-21 |
| 1477033439 | Cynthia A Ruiz | Speech-Language Pathologist | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2018-08-20 |
| 1972083061 | Leslie R Benedict | Physical Therapist | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1265515266 | Daviess County Hospital | Skilled Nursing Facility | 1747 N Rural St, Indianapolis, IN 46218-4425 | 2006-10-23 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on HANCOCK REGIONAL HOSPITAL.
| 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.