LITTLE COMPANY OF MARY HOSPITAL OF INDIANA , INC (NPI# 1619956232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619956232 |
| Entity Type | Organization |
| Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA , INC |
| Other Organization Name | MEMORIAL HOSPITAL & HEALTH CARE CENTER |
| Practice Address |
800 W 9th St Jasper IN 47546-2514 |
| Practice Telephone | 8129962345 |
| Practice Fax Number | 8129960214 |
| Mailing Telephone | 8129962345 |
| Mailing Fax Number | 8129960214 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | MR. EDWARD KYLE BENNETT (PRESIDENT & CEO) |
| Authorized Official Telephone | 8129960507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 050051021 | IN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS REHAB UNIT | 000000097730 | 01 |
| IN | 100268610A | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Hospital & Health Care Center | Doing Business As Name - Organization |
| Street Address |
800 W 9TH ST |
| City | JASPER |
| State | IN |
| Zip Code | 47546-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571871 | Bilal Ahmed | Psychiatry & Neurology | 800 W 9th St, Jasper, IN 47546-2514 | 2005-07-12 |
| 1558974402 | Kathleen Begle | Registered Nurse | 800 W 9th St, Jasper, IN 47546-2514 | 2020-08-28 |
| 1073123022 | Cassey W Ziegler | Nurse Practitioner | 800 W 9th St, Jasper, IN 47546-2516 | 2020-08-05 |
| 1801424940 | Margaret L Boeckman-schneider | Nurse Anesthetist, Certified Registered | 800 W 9th St, Jasper, IN 47546-2514 | 2020-04-01 |
| 1184250276 | Kami Hopf | Registered Nurse | 800 W 9th St, Jasper, IN 47546-2514 | 2020-03-20 |
| 1578197596 | Autumn Leslie Acosta | Physical Therapist | 800 W 9th St, Jasper, IN 47546-2514 | 2020-02-28 |
| 1194299958 | Samantha J Spellmeyer | Nurse Practitioner | 800 W 9th St, Jasper, IN 47546-2514 | 2019-01-15 |
| 1164991808 | Maranda Helsley | Social Worker | 800 W 9th St, Jasper, IN 47546-2514 | 2018-11-23 |
| 1447735253 | Dena R Kamman-rasche | Nurse Practitioner | 800 W 9th St, Jasper, IN 47546-2514 | 2018-09-27 |
| 1760964217 | Kaitlin E Strange | Social Worker | 800 W 9th St, Jasper, IN 47546-2514 | 2018-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960362 | Christus Health Southeast Texas | Rehabilitation Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619317062 | Melanie Jane Shanks | Rehabilitation Unit | 4523 Fairlawn Pass, Fort Wayne, IN 46815-6039 | 2013-06-30 |
| 1013962984 | Saint Joseph Regional Medical Center South Bend Campus Inc | Rehabilitation Unit | 60205 Bodnar Blvd, Mishawaka, IN 46544-9342 | 2006-05-22 |
| 1609873124 | Indianapolis Osteopathic Hospital, Inc | Rehabilitation Unit | 3630 Guion Road, Indianapolis, IN 46222-1616 | 2005-06-30 |
| 1831554369 | La Porte Hospital Company LLC | Rehabilitation Unit | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-12-29 |
| 1417320979 | Indiana University Health Inc | Rehabilitation Unit | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2015-11-05 |
| 1558788927 | Laura Sanders | Rehabilitation Unit | 2339 S State Road 135, Greenwood, IN 46143-4800 | 2014-03-24 |
| 1811324775 | Progressivehealth of Indiana | Rehabilitation Unit | 150 N Rosenberger Ave, Evansville, IN 47712-6503 | 2013-10-08 |
| 1043579238 | St Vincent Hospital and Health Care Center Inc | Rehabilitation Unit | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2012-05-09 |
| 1225356389 | St. Vincent Health | Rehabilitation Unit | 8227 Northwest Blvd, Indianapolis, IN 46278-1387 | 2010-05-13 |
| 1528297207 | Cni Starke LLC | Rehabilitation Unit | 102 E Culver Rd, Knox, IN 46534-2216 | 2009-07-02 |
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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.