PULASKI MEMORIAL HOSPITAL (NPI# 1477556546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477556546 |
| Entity Type | Organization |
| Organization Name | PULASKI MEMORIAL HOSPITAL |
| Other Organization Name | THE HERITAGE OF HUNTINGTON |
| Practice Address |
1180 W 500 N Huntington IN 46750-1661 |
| Mailing Address |
616 E 13th St Winamac IN 46996-1117 |
| Practice Telephone | 2603552750 |
| Practice Fax Number | 2603552759 |
| Mailing Telephone | 5749462103 |
| Mailing Fax Number | 5749462129 |
| Enumeration Date | 2005-05-23 |
| 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 | 15-002910-1 | IN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 15-002910-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200345390A | 05 |
| Other Name | Type Code |
|---|---|
| THE HERITAGE OF HUNTINGTON | 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 |
| 1346245271 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 801 Huntington Ave, Warren, IN 46792-9402 | 2005-06-16 |
| 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 |
1180 W 500 N |
| City | HUNTINGTON |
| State | IN |
| Zip Code | 46750-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457750457 | Michael Sands | Physical Therapist | 2001 Stults Road, Huntington, IN 46750 | 2014-08-15 |
| 1487917894 | Chelsi Huff | Speech-Language Pathologist | 1401 Park Hill Dr, Huntington, IN 46750 | 2012-06-20 |
| 1346540556 | Timothy Theye | Social Worker | 2860 Norhpark Ave., Huntington, IN 46750 | 2010-10-22 |
| 1710215090 | Manry Optometry, Inc. | Optometrist | 2932 Wal-mart Dr, Huntington, IN 46750 | 2009-11-25 |
| 1821114372 | Assisted Living Concepts Inc | Assisted Living Facility | 460 Forks of The Waba, Huntington, IN 46750 | 2007-03-22 |
| 1740316199 | Christine A Schnitz | Day Training/Habilitation Specialist | 435 Campus, Kids Kampus, Huntington, IN 46750 | 2007-02-27 |
| 1447397450 | Pathfinder Services Inc | Occupational Therapist | 435 Campus St, Huntington, IN 46750 | 2007-01-31 |
| 1487703781 | Sally Eileen Herman | Social Worker | 552 N Jefferson, Huntington, IN 46750 | 2007-01-09 |
| 1841356482 | Womens Medical Specialists | Obstetrics & Gynecology | 1060 Etna Avenue, Huntington, IN 46750 | 2006-12-28 |
| 1386748531 | Thomas J Ringenberg | Family Medicine | 941 Etna Ave, Huntington, IN 46750 | 2006-09-09 |
| Find all providers in zip 46750 | ||||
| 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 |
|---|---|---|---|---|
| 1255512067 | Huntington Health Care & Rehabilitation Center, Ltd. | Skilled Nursing Facility | 220 E. Ash Street, Huntington, TX 75949-5514 | 2007-11-20 |
| 1619007887 | Henry County Memorial Hospital | Skilled Nursing Facility | 3720 N Norwood Rd, Huntington, IN 46750-8906 | 2007-03-06 |
| 1417020553 | Hoosier Enterprises V, Inc. | Skilled Nursing Facility | 850 Ash St, Huntington, IN 46750-4101 | 2006-11-16 |
| 1962594630 | Fairhaven Rest Home, Inc | Skilled Nursing Facility | 700 Madison Ave, Huntington, WV 25704-2630 | 2006-09-29 |
| 1548373418 | Huntington Health and Rehab | Skilled Nursing Facility | 1720 17th St, Huntington, WV 25701-4235 | 2006-08-16 |
| 1316956311 | Hilaire Farm Skilled Living & Rehabilitation Center, LLC | Skilled Nursing Facility | 9 Hilaire Dr, Huntington, NY 11743-3768 | 2006-08-07 |
| 1528097391 | Henry County Memorial Hospital | Skilled Nursing Facility | 1425 Grant St, Huntington, IN 46750-3121 | 2006-07-02 |
| 1386687515 | Seventeenth Street Associates LLC | Skilled Nursing Facility | 1720-17th Street, Huntington, WV 25701-4235 | 2006-06-14 |
| 1265429856 | Carillon Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 830 Park Ave, Huntington, NY 11743-4543 | 2005-09-29 |
| 1366920951 | Huntington Nursing and Rehab LLC | Skilled Nursing Facility | 3720 N Norwood Rd, Huntington, IN 46750-8906 | 2018-08-06 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 46750 |
Please comment or provide details below to improve the information on PULASKI 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.