DECATUR COUNTY MEMORIAL HOSPITAL (NPI# 1629588181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629588181 |
| Entity Type | Organization |
| Organization Name | DECATUR COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | TRANQUILITY NURSING AND REHAB |
| Practice Address |
3640 Central Ave Indianapolis IN 46205-3569 |
| Mailing Address |
720 North Lincoln Street Greensburg IN 47240-1398 |
| Practice Telephone | 3174800806 |
| Mailing Telephone | 8126634331 |
| Mailing Fax Number | 8126631316 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | MS. CATHERINE KECK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8126634331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Tranquility Nursing and Rehab | 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 |
| 1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
| 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 |
| 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 |
3640 CENTRAL AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46205-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588637276 | Ellen Christine Jones | Specialist/Technologist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2006-02-11 |
| 1104457225 | Kelly Marie O'brien | Occupational Therapy Assistant | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2020-01-28 |
| 1275185100 | Caleb Hintz | Physical Medicine & Rehabilitation | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2019-07-11 |
| 1396116943 | Elizabeth Johnson | Occupational Therapist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2015-10-08 |
| 1669858387 | Jenise Lawrence | Speech-Language Pathologist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2015-08-04 |
| 1609267863 | Kaysee Mae Ellrich | Skilled Nursing Facility | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2015-02-10 |
| 1265838734 | Caitlin O'connor | Physical Therapist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2014-11-11 |
| 1710396452 | Kristen Metzler Wilson | Physical Therapist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2014-08-07 |
| 1295142875 | Letoya Lee | Occupational Therapy Assistant | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2014-07-16 |
| 1902125842 | Jaime Lynn Doehrman | Speech-Language Pathologist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2010-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
| 1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
| 1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
| 1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| 1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
| 1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
| 1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
| 1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
| 1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
| Find all providers in zip 46205 | ||||
| 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 |
|---|---|---|---|---|
| 1619337839 | Hancock Regional Hospital | Skilled Nursing Facility | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2016-03-01 |
| 1568881480 | Rabecca Howard | Skilled Nursing Facility | 5404 Georgetown Rd, Indianapolis, IN 46254-3781 | 2014-04-08 |
| 1972939361 | Witham Memorial Hospital | Skilled Nursing Facility | 8405 Clearvista Pl, Indianapolis, IN 46256-3737 | 2013-09-18 |
| 1396171781 | Witham Memorial Hospital | Skilled Nursing Facility | 1635 N Arlington Ave, Indianapolis, IN 46218-5181 | 2013-09-18 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1710205141 | Riverview Hospital | Skilled Nursing Facility | 3525 East Hanna Avenue, Indianapolis, IN 46237 | 2010-05-10 |
| 1619176641 | Witham Memorial Hospital | Skilled Nursing Facility | 9480 Priority Way West Dr, Indianapolis, IN 46240-1470 | 2007-07-11 |
| 1730384009 | Hp Pleasant Run, Inc. | Skilled Nursing Facility | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2007-06-18 |
| 1013133776 | Daviess County Hospital | Skilled Nursing Facility | 2926 N. Capitol Ave, Indianapolis, IN 46208-0356 | 2007-04-18 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46205 |
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.