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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100267380A | 05 |
Other Name | Type Code |
---|---|
Heritage Pointe | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PULASKI MEMORIAL HOSPITAL | 616 E 13th St, Winamac, IN 46996-1117 |
Street Address |
801 HUNTINGTON AVE |
City | WARREN |
State | IN |
Zip Code | 46792-9402 |
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 |
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 |
Find all providers in zip 46792 |
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 |
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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 |
Find all providers in WARREN |
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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.