DECATUR COUNTY MEMORIAL HOSPITAL (NPI# 1164599304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164599304 |
| Entity Type | Organization |
| Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | MORNINGSIDE NURSING AND MEMORY CARE CENTER |
| Practice Address |
18325 Bailey Ave South Bend IN 46637 |
| Mailing Address |
8833 Gross Point Rd Suite 308 Skokie IL 60077-1859 |
| Practice Telephone | 5742722602 |
| Practice Fax Number | 5742722608 |
| Mailing Telephone | 8476796200 |
| Mailing Fax Number | 8476796236 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | MS. LINDA SIMMONS (OWNER) |
| Authorized Official Telephone | 8126631170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | 11-004732-1 | IN | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | 14003759 | IN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 15-0047321-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200808300A | 05 |
| Other Name | Type Code |
|---|---|
| Morningside Nursing and Memory Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 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 |
| 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 |
18325 BAILEY AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851715155 | Rachel Cundiff | Pharmacist | 52482 Sr 933 N, South Bend, IN 46637 | 2014-02-07 |
| 1821427857 | Hancock Regional Hospital | Skilled Nursing Facility | 52565 Sr 933, South Bend, IN 46637 | 2013-11-12 |
| 1437587854 | Triple L Associates | Durable Medical Equipment & Medical Supplies | 227 Dixie Way North, Suite 110, South Bend, IN 46637 | 2013-10-22 |
| 1104251479 | Tao Bai | Pharmacist | 52482 State Rd 933, South Bend, IN 46637 | 2013-09-05 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| 1255613618 | Angela Taylor | Pharmacist | 52482 St Rd 933 N, South Bend, IN 46637 | 2011-09-12 |
| 1831345248 | Cherlyn Po | Occupational Therapist | 52654 N Ironwood Rd, South Bend, IN 46637 | 2008-08-18 |
| 1831572478 | Patrick Kelly | Occupational Therapy Assistant | 52565 Sr 933, South Bend, IN 46637 | 2015-07-01 |
| 1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
| 1699719955 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 51467 State Road 933, South Bend, IN 46637-1617 | 2006-06-16 |
| Find all providers in zip 46637 | ||||
| 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 |
|---|---|---|---|---|
| 1821427857 | Hancock Regional Hospital | Skilled Nursing Facility | 52565 Sr 933, South Bend, IN 46637 | 2013-11-12 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1669544516 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614-2243 | 2006-11-15 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1235219148 | Janeczko Properties LLC | Skilled Nursing Facility | 206 E Marion St, South Bend, IN 46601-1029 | 2006-10-16 |
| 1821185356 | Adams County Memorial Hospital | Skilled Nursing Facility | 17475 Dugdale Dr, South Bend, IN 46635-1545 | 2006-10-06 |
| 1093750119 | St. Clair Darden Health System Inc | Skilled Nursing Facility | 20531 Darden Rd, South Bend, IN 46637-2915 | 2006-06-20 |
| 1841287232 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1121 E Lasalle Ave, South Bend, IN 46617 | 2005-09-30 |
| 1477913754 | Chalet of Hastings LLC | Skilled Nursing Facility | 6101 Nimtz Pkwy, South Bend, IN 46628-6111 | 2016-03-01 |
| 1487044822 | Decatur County Memorial Hospital | Skilled Nursing Facility | 5024 W Western Ave, South Bend, IN 46619-2312 | 2015-01-23 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46637 |
Please comment or provide details below to improve the information on DECATUR COUNTY MEMORIAL HOSPITAL.
| 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.