PULASKI MEMORIAL HOSPITAL


Address: 801 Huntington Ave, Warren, IN 46792-9402
Phone: 2603752201

PULASKI MEMORIAL HOSPITAL (NPI# 1346245271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346245271
Entity Type Organization
Organization Name PULASKI MEMORIAL HOSPITAL
Other Organization Name HERITAGE POINTE
Practice Address 801 Huntington Ave
Warren
IN 46792-9402
Mailing Address 616 E 13th St
Winamac
IN 46996-1117
Practice Telephone 2603752201
Practice Fax Number 2603753327
Mailing Telephone 5749462103
Mailing Fax Number 5749462129
Enumeration Date 2005-06-16
Last Update Date 2016-11-28
Authorized Official Name MR. GREGG MALOTT (DIRECTOR OF BUSINESS DEVELOPMENT)
Authorized Official Telephone 5749462103
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 313M00000X Nursing Facility/Intermediate Care Facility 15-000542-1 IN Nursing & Custodial Care Facilities
N 310400000X Assisted Living Facility 15-000542-1 IN Nursing & Custodial Care Facilities
Y 314000000X Skilled Nursing Facility 15-000542-1 IN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN 100267380A 05

Other Provider/Organization Names

Other Name Type Code
Heritage Pointe Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336548353 Pulaski Memorial Hospital Skilled Nursing Facility 6050 S Cr 800 E-92, Fort Wayne, IN 46814-9201 2014-08-14
1801205240 Pulaski Memorial Hospital Assisted Living Facility 5250 Heritage Pkwy, Fort Wayne, IN 46835-1061 2014-08-11
1881816148 Pulaski Memorial Hospital Nursing Facility/Intermediate Care Facility 505 North Gavin Street, Muncie, IN 47303 2007-05-03
1346263217 Pulaski Memorial Hospital Nursing Facility/Intermediate Care Facility 700 E 21st Ave, Gary, IN 46407 2006-07-25
1710930524 Pulaski Memorial Hospital Skilled Nursing Facility 624 E 13th St, Winamac, IN 46996-1117 2006-05-19
1306837869 Pulaski Memorial Hospital Skilled Nursing Facility 516 Williams St, Angola, IN 46703-1144 2005-11-03
1811987894 Pulaski Memorial Hospital Skilled Nursing Facility 643 West Utica Street, Sellersburg, IN 47172-1163 2005-10-21
1932196177 Pulaski Memorial Hospital Skilled Nursing Facility 1010 W Washington Center Rd, Ft Wayne, IN 46825-4155 2005-10-03
1376540310 Pulaski Memorial Hospital Home Health 616 E. 13th Street, Winamac, IN 46996-1117 2005-07-06
1477556546 Pulaski Memorial Hospital Nursing Facility/Intermediate Care Facility 1180 W 500 N, Huntington, IN 46750-1661 2005-05-23

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PULASKI MEMORIAL HOSPITAL 616 E 13th St, Winamac, IN 46996-1117

Office Location

Street Address 801 HUNTINGTON AVE
City WARREN
State IN
Zip Code 46792-9402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578126835 Christie Mielke Occupational Therapy Assistant 801 Huntington Ave, Warren, IN 46792-9402 2019-04-22
1124594304 Lindsey Stephens Occupational Therapy Assistant 801 Huntington Ave, Warren, IN 46792-9402 2018-10-16
1841786811 Jessica Smith Occupational Therapist 801 Huntington Ave, Warren, IN 46792-9402 2018-07-02
1184115099 Olajuwon Turner Physical Therapy Assistant 801 Huntington Ave, Warren, IN 46792-9402 2018-05-25
1497279798 Megan M Lee Occupational Therapist 801 Huntington Ave, Warren, IN 46792-9402 2017-07-28
1083005755 Johnn Walker Shuler Physical Therapy Assistant 801 Huntington Ave, Warren, IN 46792-9402 2015-02-16
1588922207 Compass Supportive Palliative Care LLC Psychiatry & Neurology 801 Huntington Ave, Warren, IN 46792-9402 2012-05-01
1659653608 Anna Lovell Speech-Language Pathologist 801 Huntington Ave, Warren, IN 46792-9402 2011-09-15
1124155452 Midwest Eye Consultants, P.C. Optometrist 801 Huntington Ave, Warren, IN 46792-9402 2007-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598173056 Whitney J. Shafer Nurse Practitioner 470 Bennett Dr, Warren, IN 46792 2014-07-29
1952614224 Michelle Lynn Layman Speech-Language Pathologist 123 N Wayne St, Warren, IN 46792 2010-07-15
1609082775 Vernon Winfield Byer Pharmacist Warren Pharmacy, 222 North Wayne St, Warren, IN 46792 2007-05-15
1811911969 Robert H Berghoff Dentist 470 Bennett Drive, Suite C, Warren, IN 46792 2006-07-26
1043413016 Charis M Daniels Pharmacy Technician 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 2007-06-07
1245433325 Marsha J Crickard Pharmacy Technician 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 2007-06-07
1245441633 Millie Ann Ellis Pharmacy Technician 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 2007-05-25
1275744666 Cheryl A Campbell Pharmacy Technician 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 2007-05-25
1942411335 Patricia Lynn Breckenridge Pharmacy Technician 222 N Wayne St, Warren, IN 46792 2007-05-25
1639320104 Angela Lamar Physical Therapy Assistant 716 E Jefferson St, Warren, IN 46792-0152 2008-10-02
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467735977 Van Dyke Partners LLC Skilled Nursing Facility 31800 Van Dyke Ave, Warren, MI 48093-7907 2011-09-21
1841442811 Wagnon Place Health Facilities Skilled Nursing Facility 1440 East Church Street, Warren, AR 71671 2008-10-21
1396822771 Warren Geriatric Village, Inc Skilled Nursing Facility 11700 E 10 Mile Rd, Warren, MI 48089-3903 2006-11-01
1598852782 Thi of Ohio At Imperial, LLC Skilled Nursing Facility 4121 Tod Ave Nw, Warren, OH 44485-1258 2006-10-07
1770670952 Thi of Ohio At Horizon Village, LLC Skilled Nursing Facility 2473 North Rd Ne, Warren, OH 44483-3054 2006-10-07
1184722522 Gillette Nursing Home, Inc. Skilled Nursing Facility 3310 Elm Rd Ne, Warren, OH 44483-2614 2006-09-20
1427169564 Ridgecrest Healthcare Group Inc. Skilled Nursing Facility 1926 Ridge Ave Se, Warren, OH 44484-2821 2006-08-31
1477563120 Omni Manor, Inc. Skilled Nursing Facility 200 Glendola Ave Nw, Warren, OH 44483-1247 2006-08-08
1053325951 Hcf of Warren, Inc. Skilled Nursing Facility 682 Pleasant Dr, Warren, PA 16365-3468 2006-07-28
1063433225 Community Skilled Nursing Centre Skilled Nursing Facility 1320 Mahoning Ave Nw, Warren, OH 44483-2002 2006-07-22
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City WARREN
Zip Code 46792

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Dataset Information

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.

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