HENRY COUNTY MEMORIAL HOSPITAL (NPI# 1164451944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164451944 |
| Entity Type | Organization |
| Organization Name | HENRY COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | HICKORY CREEK AT PERU |
| Practice Address |
390 Boulevard Peru IN 46970-1514 |
| Mailing Address |
6081 E 82nd St Indianapolis IN 46250-1795 |
| Practice Telephone | 7654734900 |
| Practice Fax Number | 7654733196 |
| Mailing Telephone | 3175700266 |
| Mailing Fax Number | 3175700266 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | MR. PAUL F JANSSEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 7655210890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 06-000475-1 | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Hickory Creek at Peru | 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 |
390 BOULEVARD |
| City | PERU |
| State | IN |
| Zip Code | 46970-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| 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 |
|---|---|---|---|---|
| 1366748386 | Witham Memorial Hospital | Skilled Nursing Facility | 269 Meadowview Dr, Peru, IN 46970-8996 | 2011-02-09 |
| 1114930104 | Major Hospital | Skilled Nursing Facility | 1850 W Matador St, Peru, IN 46970-3711 | 2006-08-14 |
| 1932174000 | Residential Alternatives of Illinois, Inc. | Skilled Nursing Facility | 3230 Becker Dr, Peru, IL 61354 | 2006-02-21 |
| 1154368785 | Dukes Health System LLC | Skilled Nursing Facility | 275 W 12th St, Peru, IN 46970-1638 | 2006-06-01 |
| 1114916806 | Dukes Memorial Hospital-continuing Care Center | Skilled Nursing Facility | 275 W 12th St, Peru, IN 46970-1638 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.