ADAMS COUNTY MEMORIAL HOSPITAL (NPI# 1912930223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912930223 |
| Entity Type | Organization |
| Organization Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | MAJESTIC CARE OF NEW HAVEN |
| Practice Address |
1201 Daly Dr New Haven IN 46774 |
| Mailing Address |
1100 Mercer Ave Decatur IN 46733-2303 |
| Practice Telephone | 2197490413 |
| Practice Fax Number | 2197492531 |
| Mailing Telephone | 2607242145 |
| Mailing Fax Number | 2607283852 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-09-03 |
| Authorized Official Name | DANE WHEELER (CFO) |
| Authorized Official Telephone | 2607242145 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05-000114-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100266640A | 05 |
| Other Name | Type Code |
|---|---|
| Majestic Care of New Haven | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891031480 | Adams County Memorial Hospital | Skilled Nursing Facility | 1350 West Main Street, Berne, IN 46711-1794 | 2012-12-31 |
| 1134493281 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 9802 Coldwater Road, Fort Wayne, IN 46825 | 2012-03-06 |
| 1982729604 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 6996 S Us 421, Versailles, IN 47042-9390 | 2007-03-20 |
| 1760519268 | Adams County Memorial Hospital | Skilled Nursing Facility | 12011 Whittern Rd, Monroeville, IN 46773-9126 | 2007-02-28 |
| 1356476154 | Adams County Memorial Hospital | Skilled Nursing Facility | 1300 Mercer Ave, Decatur, IN 46733-2407 | 2007-02-22 |
| 1477699460 | Adams County Memorial Hospital | Skilled Nursing Facility | 200 West Fourth Dtreet, Oaktown, IN 47561-8081 | 2007-01-29 |
| 1235205816 | Adams County Memorial Hospital | Skilled Nursing Facility | 520 W 9th Street, Jasper, IN 47546-2711 | 2006-11-27 |
| 1659454148 | Adams County Memorial Hospital | Skilled Nursing Facility | 9325 N. Crawford Streeet, Knightsville, IN 47857-0170 | 2006-10-20 |
| 1366531907 | Adams County Memorial Hospital | Assisted Living Facility | 400 Caylor Boulevard, Bluffton, IN 46714-8805 | 2006-10-12 |
| 1821185356 | Adams County Memorial Hospital | Skilled Nursing Facility | 17475 Dugdale Dr, South Bend, IN 46635-1545 | 2006-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADAMS COUNTY MEMORIAL HOSPITAL | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Street Address |
1201 DALY DR |
| City | NEW HAVEN |
| State | IN |
| Zip Code | 46774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235667700 | Morgan Hill | Physical Therapy Assistant | 1201 Daly Dr, New Haven, IN 46774-1891 | 2017-05-30 |
| 1477006252 | Rachel Ottenweller | Physical Therapy Assistant | 1201 Daly Dr, New Haven, IN 46774-1891 | 2016-07-28 |
| 1346623386 | Genesis Eldercare Physicians Services LLC | Internal Medicine | 1201 Daly Dr, New Haven, IN 46774-1891 | 2015-07-08 |
| 1841600459 | Stacy Eckstein | Speech-Language Pathologist | 1201 Daly Dr, New Haven, IN 46774-1891 | 2014-05-05 |
| 1740524248 | Stephanie Rose Kline | Speech-Language Pathologist | 1201 Daly Dr, New Haven, IN 46774-1891 | 2012-11-21 |
| 1174867675 | Sarah Elizabeth Hellinger | Physical Therapy Assistant | 1201 Daly Dr, New Haven, IN 46774-1891 | 2012-11-21 |
| 1992049555 | Andrea Elizabeth Kever | Occupational Therapy Assistant | 1201 Daly Dr, New Haven, IN 46774-1891 | 2012-11-20 |
| 1023223633 | Innovative Health Concepts | Nurse Practitioner | 1201 Daly Dr, New Haven, IN 46774-1891 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659236 | Tyann Nicole Sanchez | Doula | 16018 Platter Road, New Haven, IN 46774 | 2017-06-21 |
| 1073673430 | Benjamin Craig Swinehart | Physical Therapist | 10876 Isabelle Dr., New Haven, IN 46774 | 2006-12-08 |
| 1922520410 | Claressa Sue Brekke | Physical Therapist | 1316 Minnich Rd, New Haven, IN 46774 | 2017-07-17 |
| 1750558706 | Kristen Zurbuch Ms Ccc-slp | Speech-Language Pathologist | 3117 Pawnee Ct, New Haven, IN 46774 | 2008-05-09 |
| 1548442197 | Brackmann & Hockemeyer Optometry Inc | Optometrist | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 | 2007-12-05 |
| 1023349255 | Elzabeth K Hartup | Specialist | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2010-01-28 |
| 1417365958 | Jeremy Oyer | Physical Therapy Assistant | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2014-07-29 |
| 1467728204 | Jeremy Duane Stewart | Physical Therapy Assistant | 156 Sturm St, New Haven, IN 46774-1141 | 2012-03-27 |
| 1215313911 | Theresa Schortgen | Health Educator | 146 N Rufus St, New Haven, IN 46774-1162 | 2015-08-04 |
| 1801882188 | Susan L Bosler | Chiropractor | 108 Landin Rd, New Haven, IN 46774-1168 | 2005-09-22 |
| Find all providers in zip 46774 | ||||
| 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 |
|---|---|---|---|---|
| 1174622278 | Pratt's Rexall Drugs, Inc | Skilled Nursing Facility | 100 Dwayne Von Behren Dr, New Haven, MO 63068-3207 | 2006-09-22 |
| 1255379517 | Marathon Healthcare Center of New Haven LLC | Skilled Nursing Facility | 181 Clifton St, New Haven, CT 06513-3319 | 2006-06-02 |
| 1629053079 | Leeway, Inc | Skilled Nursing Facility | 40 Albert St, New Haven, CT 06511-1542 | 2005-12-08 |
| 1154318335 | Jewish Home for Aged | Skilled Nursing Facility | 169 Davenport Ave, New Haven, CT 06519 | 2005-10-03 |
| 1760479125 | New Haven Care Center, Inc | Skilled Nursing Facility | 9503 Highway 100, New Haven, MO 63068-1300 | 2005-09-30 |
| 1043207723 | Haven Health Center of New Haven, LLC | Skilled Nursing Facility | 915 Ella T Grasso Blvd, New Haven, CT 06519-5516 | 2005-09-29 |
| 1336599497 | Advanced Center for Nursing & Rehabilitation LLC | Skilled Nursing Facility | 169 Davenport Ave, New Haven, CT 06519-1319 | 2016-06-20 |
| 1467715755 | Yale-new Haven Care Continuum Corporation | Skilled Nursing Facility | 1354 Chapel St, New Haven, CT 06511-4420 | 2012-06-21 |
| 1285939041 | Advanced Nursing & Rehabilitation Center of New Haven LLC | Skilled Nursing Facility | 169 Davenport Ave, New Haven, CT 06519-1319 | 2011-01-25 |
| 1376777698 | Paradigm Healthcare Center of New Haven, LLC | Skilled Nursing Facility | 181 Clifton St, New Haven, CT 06513-3319 | 2009-05-14 |
| Find all providers in NEW HAVEN | ||||
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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.