JOHNSON MEMORIAL HOSPITAL


Address: 815 Washington St, Rockport, IN 47635-1252
Phone: 8126492276

JOHNSON MEMORIAL HOSPITAL (NPI# 1629091061) 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) 1629091061
Entity Type Organization
Organization Name JOHNSON MEMORIAL HOSPITAL
Other Organization Name MILLER'S MERRY MANOR
Practice Address 815 Washington St
Rockport
IN 47635-1252
Mailing Address 1125 W Jefferson St
Franklin
IN 46131-2140
Practice Telephone 8126492276
Practice Fax Number 8126499332
Mailing Telephone 3177363396
Mailing Fax Number 3177362692
Enumeration Date 2006-07-26
Last Update Date 2020-04-21
Authorized Official Name MR. ADAM PUTVIN (CFO)
Authorized Official Telephone 3173467939
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
IN Suppliers
N 332BN1400X Durable Medical Equipment & Medical Supplies
Specialization: Nursing Facility Supplies
Suppliers
Y 314000000X Skilled Nursing Facility 06-000174-1 IN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN 100274810A 05

Other Provider/Organization Names

Other Name Type Code
Miller's Merry Manor Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487016549 Johnson Memorial Hospital General Acute Care Hospital 214 Crenshaw Dr, Saint Paul, IN 47272-9435 2016-03-27
1144627977 Johnson Memorial Hospital Skilled Nursing Facility 411 N Wolf Rd, Columbia City, IN 46725-8733 2014-11-21
1881001527 Johnson Memorial Hospital Skilled Nursing Facility 3530 Monroe Street, La Porte, IN 46350 2014-07-15
1144236415 Johnson Memorial Hospital Durable Medical Equipment & Medical Supplies 1720 Alber St, Wabash, IN 46992-1015 2006-07-31
1982627329 Johnson Memorial Hospital Durable Medical Equipment & Medical Supplies 200 26th St, Logansport, IN 46947-2063 2006-07-26
1508889940 Johnson Memorial Hospital Durable Medical Equipment & Medical Supplies 548 S 100 W, Hartford City, IN 47348-9507 2006-07-26
1669495008 Johnson Memorial Hospital Durable Medical Equipment & Medical Supplies 5909 Lute Rd, Portage, IN 46368-4824 2006-07-26
1134142573 Johnson Memorial Hospital Durable Medical Equipment & Medical Supplies 612 E 11th St, Rushville, IN 46173-1319 2006-07-26
1437172871 Johnson Memorial Hospital Durable Medical Equipment & Medical Supplies 2901 W 37th Ave, Hobart, IN 46342-1727 2006-07-26
1952324394 Johnson Memorial Hospital Durable Medical Equipment & Medical Supplies 524 Anderson Rd, Chesterfield, IN 46017-1514 2006-07-26

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities JOHNSON MEMORIAL HOSPITAL 1125 W Jefferson St, Franklin, IN 46131-2140
Connecticut Business Registrations Johnson Memorial Hospital Auxiliary, Inc. One Financial Plaza, Hartford, CT 06103
Connecticut Business Registrations JOHNSON MEMORIAL HOSPITAL, INC. 201 Chestnut Hill Road, Stafford Springs, CT 06076

Office Location

Street Address 815 WASHINGTON ST
City ROCKPORT
State IN
Zip Code 47635-1252

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NPI Name Taxonomy Address Enumeration
1750754750 Bryan J Koewler Physical Therapist 826 N Sr 161, Suite B, Rockport, IN 47635 2015-11-12
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1457680688 Rockport Ohio Township Fire Department Non-emergency Medical Transport (VAN) 615 Sycamore St, Rockport, IN 47635-0133 2009-12-17
1285784058 Houchens Express Pharmacy LLC Pharmacy 815 Sycamore St, Rockport, IN 47635-1123 2007-01-11
1891262994 Lifespring, Inc Clinic/Center 818 Madison St, Rockport, IN 47635-1241 2018-10-26
1942296009 Lisa M Miller Nurse Practitioner 105 S 2nd St, Rockport, IN 47635-1318 2005-09-23
1679833313 Carrie Margaret Arias Family Medicine 105 S 2nd St, Rockport, IN 47635-1318 2012-05-28
1992976914 Chrstina M. Beeler Social Worker 107 N 2nd St, Rockport, IN 47635-1401 2008-03-18
1699716316 Mary E. Posner Psychologist 203 Elm St, Rockport, IN 47635-1409 2006-06-10
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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.

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NPI Name Taxonomy Address Enumeration
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1538147467 Oak Crest Nursing Center Skilled Nursing Facility 1902 Fm 3036, Rockport, TX 78382-9691 2005-12-30
1922092790 Memorial Medical Center Skilled Nursing Facility 1008 Enterprise Blvd, Rockport, TX 78382-3201 2005-09-07
1639629439 Wv-rockport Snf Opco, LLC Skilled Nursing Facility 44 South St, Rockport, MA 01966-1800 2016-10-05
1437512472 Nsl Den-mar LLC Skilled Nursing Facility 44 South St, Rockport, MA 01966-1800 2016-03-29
1497173819 Ch-den Mar LLC Skilled Nursing Facility 44 South St, Rockport, MA 01966-1800 2014-04-02
1518915099 Uvalde County Hospital Authority Skilled Nursing Facility 1902 Fm 3036, Rockport, TX 78382-9691 2006-05-05

Providers in the same taxonomy and state

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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
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Competitor

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City ROCKPORT
Zip Code 47635

Improve Information

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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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