JOHNSON MEMORIAL HOSPITAL (NPI# 1881001527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881001527 |
| Entity Type | Organization |
| Organization Name | JOHNSON MEMORIAL HOSPITAL |
| Other Organization Name | MILLER'S HEALTH & REHAB BY MILLER'S MERRY MANOR |
| Practice Address |
3530 Monroe Street La Porte IN 46350 |
| Mailing Address |
1125 W Jefferson St Franklin IN 46131-2140 |
| Practice Telephone | 2198418020 |
| Practice Fax Number | 2193253715 |
| Mailing Telephone | 3177363300 |
| Mailing Fax Number | 5742674908 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | MR. ADAM PUTVIN (CFO) |
| Authorized Official Telephone | 3173467939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 14-000194-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100267790 | 05 |
| Other Name | Type Code |
|---|---|
| Miller's Health & Rehab by Miller's Merry Manor | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1639192065 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1651 Campbell Ave, Indianapolis, IN 46218-5122 | 2006-07-26 |
| 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 |
| Street Address |
3530 MONROE STREET |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| 1114162096 | Rhonda Rostecki | Social Worker | 3876 N 625 W, La Porte, IN 46350 | 2008-12-08 |
| Find all providers in zip 46350 | ||||
| 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 |
|---|---|---|---|---|
| 1043831159 | Ml - La Porte, LLC | Skilled Nursing Facility | 3950 Underwood Rd, La Porte, TX 77571 | 2020-04-29 |
| 1154319713 | Seniorlivingspropertieslaportehealthcare | Skilled Nursing Facility | 208 S Utah St, La Porte, TX 77571-5555 | 2005-10-07 |
| 1386644201 | Happy Harbor Methodist Home, Inc. | Skilled Nursing Facility | 1106 Bayshore Dr, La Porte, TX 77571-5868 | 2005-07-21 |
| 1841733748 | Dycora Transitional Health - La Porte LLC | Skilled Nursing Facility | 1700 I St, La Porte, IN 46350-5750 | 2016-11-23 |
| 1487197380 | Dycora Transitional Health - La Porte Springs LLC | Skilled Nursing Facility | 1900 Andrew Ave, La Porte, IN 46350-6337 | 2016-11-23 |
| 1366807802 | La Porte Hospital Company LLC | Skilled Nursing Facility | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-12-29 |
| 1093985814 | Hendricks County Hospital | Skilled Nursing Facility | 1700 I St, La Porte, IN 46350-5750 | 2008-03-07 |
| 1386822914 | Hendricks County Hospital | Skilled Nursing Facility | 1900 Andrew Ave, La Porte, IN 46350-6337 | 2008-02-06 |
| 1558446393 | Indiana University Health La Porte Hospital Inc | Skilled Nursing Facility | 1007 Lincolnway, La Porte, IN 46350-3201 | 2006-10-26 |
| 1912931015 | Slp Laporte LLC | Skilled Nursing Facility | 208 S Utah St, La Porte, TX 77571-5555 | 2006-07-11 |
| Find all providers in LA PORTE | ||||
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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.