DECATUR COUNTY MEMORIAL HOSPITAL (NPI# 1629698808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629698808 |
| Entity Type | Organization |
| Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL |
| Practice Address |
6712 Restoracy Drive Whitestown IN 46075-0089 |
| Mailing Address |
720 North Lincoln Street Greensburg IN 47240-1398 |
| Practice Telephone | 3177698888 |
| Mailing Telephone | 8126634331 |
| Mailing Fax Number | 8126631316 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | MS. CATHERINE ELIZABETH KECK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8126694331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Restoracy of Whitestown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275001489 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave Ste 2, Greensburg, IN 47240-1487 | 2018-11-06 |
| 1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
| 1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
| 1346292737 | Decatur County Memorial Hospital | Skilled Nursing Facility | 353 Tyler Street, Gary, IN 46402-1149 | 2006-05-16 |
| 1295720365 | Decatur County Memorial Hospital | Skilled Nursing Facility | 950 N Lakeview Dr, Greensburg, IN 47240-3405 | 2005-09-15 |
| 1952300477 | Decatur County Memorial Hospital | General Acute Care Hospital | 720 N. Lincoln St, Greensburg, IN 47240-1398 | 2005-07-18 |
| 1295732188 | Decatur County Memorial Hospital | Clinic/Center | 718 N. Lincoln St, Greensburg, IN 47240-1348 | 2005-07-07 |
| 1124025010 | Decatur County Memorial Hospital | Home Health | 955 N. Michigan St., Greensburg, IN 47240-1327 | 2005-07-07 |
| 1629588181 | Decatur County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2017-10-10 |
| 1316307184 | Decatur County Memorial Hospital | Pharmacy | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2016-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DECATUR COUNTY MEMORIAL HOSPITAL | 720 N Lincoln St, Greensburg, IN 47240-1327 |
| Indiana Business Entities | DECATUR COUNTY MEMORIAL HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., |
| Street Address |
6712 RESTORACY DRIVE |
| City | WHITESTOWN |
| State | IN |
| Zip Code | 46075-0089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030979 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Parkway, Whitestown, IN 46075 | 2017-08-23 |
| 1427179100 | Mary Kay Bonner | Music Therapist | 2375 South, 700 East Road, Whitestown, IN 46075 | 2007-04-02 |
| 1396931457 | Kevin Carlo Chang | Internal Medicine | 6290 Central Blvd Apt 308, Whitestown, IN 46075-4405 | 2007-09-21 |
| 1114262383 | Midwest Dme Solutions Inc | Durable Medical Equipment & Medical Supplies | 6300 El Paso St, Whitestown, IN 46075-5503 | 2012-11-29 |
| 1841804655 | Lane Michael Sawyer | Registered Nurse | 6065 Schooler Dr Apt 212, Whitestown, IN 46075-6610 | 2020-08-31 |
| 1801449418 | A Joyous Kare Home Health | Home Health | 3866 Tartan Trl, Whitestown, IN 46075-7401 | 2019-07-23 |
| 1134631864 | Jenny Neese Family Dentistry | Clinic/Center | 6426 Whitestown Pkwy, Whitestown, IN 46075-7604 | 2017-11-03 |
| 1265922611 | Diana Jo Lapp | Dental Hygienist | 6426 Whitestown Pkwy, Whitestown, IN 46075-7604 | 2018-05-11 |
| 1316145626 | Lesley B Rine | Pharmacist | 4750 E 450 S, Whitestown, IN 46075-8404 | 2007-07-07 |
| 1952913303 | Sharron Renise Henderson | Pharmacist | 4750 E 450 S, Whitestown, IN 46075-8404 | 2020-08-18 |
| Find all providers in zip 46075 | ||||
| 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 |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 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 |
| 1598119968 | Harrison County Hospital | Skilled Nursing Facility | 702 N Sawyer Rd, Kendallville, IN 46755-2532 | 2016-04-21 |
| Find all providers with the same taxonomy | ||||
| City | WHITESTOWN |
| Zip Code | 46075 |
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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.