HENRY COUNTY MEMORIAL HOSPITAL (NPI# 1710076823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710076823 |
| Entity Type | Organization |
| Organization Name | HENRY COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | FOREST PARK HEALTH CAMPUS |
| Practice Address |
2401 S L St Richmond IN 47374-7439 |
| Mailing Address |
Po Box 221648 Louisville KY 40252-1648 |
| Practice Telephone | 7659665705 |
| Practice Fax Number | 7659665713 |
| Mailing Telephone | 5024125847 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | PAUL JANSSEN (PRESIDENT & CEO) |
| Authorized Official Telephone | 7655220890 |
| 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 | 200853180A | 05 |
| Other Name | Type Code |
|---|---|
| Forest Park Health Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867942 | Henry County Memorial Hospital | Clinic/Center | 4760 National Rd W, Richmond, IN 47374-4745 | 2020-06-30 |
| 1609235142 | Henry County Memorial Hospital | Family Medicine | 3521 W Purdue Ave, Muncie, IN 47304-6358 | 2016-02-12 |
| 1881062586 | Henry County Memorial Hospital | Skilled Nursing Facility | 400 Industries Road, Richmond, IN 47374-3727 | 2015-09-11 |
| 1477812329 | Henry County Memorial Hospital | Skilled Nursing Facility | 2320 N Montgomery Rd, Greensburg, IN 47240-7017 | 2012-05-14 |
| 1124399910 | Henry County Memorial Hospital | Skilled Nursing Facility | 1023 N 20th Street, New Castle, IN 47362-4002 | 2012-01-25 |
| 1083872840 | Henry County Memorial Hospital | Family Medicine | 7023 S Spiceland Rd, Spiceland, IN 47385-9765 | 2008-05-29 |
| 1619007887 | Henry County Memorial Hospital | Skilled Nursing Facility | 3720 N Norwood Rd, Huntington, IN 46750-8906 | 2007-03-06 |
| 1871623041 | Henry County Memorial Hospital | Skilled Nursing Facility | 1400 Medical Park Dr, Fort Wayne, IN 46825-5832 | 2007-03-06 |
| 1740315878 | Henry County Memorial Hospital | Skilled Nursing Facility | 5700 Wilkie Dr, Fort Wayne, IN 46804-1662 | 2007-02-22 |
| 1336289867 | Henry County Memorial Hospital | Skilled Nursing Facility | 809 W Freeman St, Frankfort, IN 46041-2944 | 2007-02-07 |
| Street Address |
2401 S L ST |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-7439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390774 | Dawn L Callahan | Occupational Therapy Assistant | 2401 S L St, Richmond, IN 47374-7439 | 2012-10-10 |
| 1689925158 | William F Bourne | Physical Therapy Assistant | 2401 S L St, Richmond, IN 47374-7439 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| 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 |
|---|---|---|---|---|
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1013450881 | Recover-care Richmond LLC | Skilled Nursing Facility | 340 South St, Richmond, KS 66080-4040 | 2016-11-28 |
| 1881062586 | Henry County Memorial Hospital | Skilled Nursing Facility | 400 Industries Road, Richmond, IN 47374-3727 | 2015-09-11 |
| 1144585019 | O'bryant House | Skilled Nursing Facility | 7122 Timber Moss Ln, Richmond, TX 77469-4115 | 2012-07-06 |
| 1952672487 | Kathy P Riordan | Skilled Nursing Facility | 211 Buena Vista Ave, Richmond, CA 94801-4026 | 2012-01-13 |
| 1619184645 | Sitter-barfoot Veterans Care Center | Skilled Nursing Facility | 1601 Broad Rock Blvd, Richmond, VA 23224 | 2007-05-17 |
| 1245454677 | The Laurels of Bon Air, LLC | Skilled Nursing Facility | 9101 Bon Air Crossings Drive, Richmond, VA 23235 | 2007-04-13 |
| 1528189008 | Oakbend Medical Center | Skilled Nursing Facility | 2127 Preston St, Richmond, TX 77469-1418 | 2007-04-03 |
| 1467590562 | Heritage House of Richmond | Skilled Nursing Facility | 2070 Chester Blvd, Richmond, IN 47374-1215 | 2007-02-01 |
| 1093875221 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2050 Chester Blvd, Richmond, IN 47374 | 2006-12-11 |
| Find all providers in RICHMOND | ||||
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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.