ADAMS COUNTY MEMORIAL HOSPITAL (NPI# 1982729604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982729604 |
| Entity Type | Organization |
| Organization Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | SILVER MEMORIES HEALTH CARE |
| Practice Address |
6996 S Us 421 Versailles IN 47042-9390 |
| Mailing Address |
Po Box 151 1100 Mercer Avenue Decatur IN 46733-2303 |
| Practice Telephone | 8126896222 |
| Practice Fax Number | 8126897443 |
| Mailing Telephone | 2607242145 |
| Mailing Fax Number | 2607283852 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | DANE WHEELER (CFO) |
| Authorized Official Telephone | 2607247145 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 15E657 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100273470 | 05 |
| Other Name | Type Code |
|---|---|
| Silver Memories Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891031480 | Adams County Memorial Hospital | Skilled Nursing Facility | 1350 West Main Street, Berne, IN 46711-1794 | 2012-12-31 |
| 1134493281 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 9802 Coldwater Road, Fort Wayne, IN 46825 | 2012-03-06 |
| 1760519268 | Adams County Memorial Hospital | Skilled Nursing Facility | 12011 Whittern Rd, Monroeville, IN 46773-9126 | 2007-02-28 |
| 1356476154 | Adams County Memorial Hospital | Skilled Nursing Facility | 1300 Mercer Ave, Decatur, IN 46733-2407 | 2007-02-22 |
| 1477699460 | Adams County Memorial Hospital | Skilled Nursing Facility | 200 West Fourth Dtreet, Oaktown, IN 47561-8081 | 2007-01-29 |
| 1235205816 | Adams County Memorial Hospital | Skilled Nursing Facility | 520 W 9th Street, Jasper, IN 47546-2711 | 2006-11-27 |
| 1659454148 | Adams County Memorial Hospital | Skilled Nursing Facility | 9325 N. Crawford Streeet, Knightsville, IN 47857-0170 | 2006-10-20 |
| 1366531907 | Adams County Memorial Hospital | Assisted Living Facility | 400 Caylor Boulevard, Bluffton, IN 46714-8805 | 2006-10-12 |
| 1821185356 | Adams County Memorial Hospital | Skilled Nursing Facility | 17475 Dugdale Dr, South Bend, IN 46635-1545 | 2006-10-06 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADAMS COUNTY MEMORIAL HOSPITAL | 1100 Mercer Ave, Decatur, IN 46733-2303 |
| Street Address |
6996 S US 421 |
| City | VERSAILLES |
| State | IN |
| Zip Code | 47042-9390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528578770 | Kayla Meister | Nurse Practitioner | 206 W Tyson St, Versailles, IN 47042 | 2017-10-02 |
| 1093091688 | Daniel J Kress Dds, Inc | Dentist | 823 S Adams, Hwy421s, Versailles, IN 47042 | 2011-10-26 |
| 1427334119 | Daniel J Kress | Dentist | 823 S Adams, Hwy 421s, Versailles, IN 47042 | 2011-10-26 |
| 1487944294 | George's Family Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 326 S. Washington St. Suite 22, Versailles, IN 47042 | 2011-04-13 |
| 1982888186 | Pamela Sue Pevlor | Developmental Therapist | 118 Cory Lane, Versailles, IN 47042 | 2007-12-24 |
| 1548472731 | South Ripley Community School Corporation | Local Education Agency (LEA) | 207 West Tyson Street, Versailles, IN 47042 | 2007-05-03 |
| 1902924616 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 122 Tyson St, Versailles, IN 47042 | 2007-03-27 |
| 1497820302 | Integrity Chiropractic Associates LLC | Chiropractor | 1154 S Ripley Estates Dr, Versailles, IN 47042 | 2006-11-24 |
| 1376629204 | Fairy Geiling | Case Manager/Care Coordinator | 202 N Gaslight Drive, Versailles, IN 47042 | 2006-10-31 |
| 1134219652 | Craig W George | Chiropractor | 1154 S. Riply Estates Dr, Versailles, IN 47042 | 2006-10-13 |
| Find all providers in zip 47042 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1467612507 | Taylor Manor Inc. | Nursing Facility/Intermediate Care Facility | 300 Berry Ave, Versailles, KY 40383-1474 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871040659 | Stephanie Hentrup | Nursing Facility/Intermediate Care Facility | 621 E 20th St, Ferdinand, IN 47532-9220 | 2016-09-08 |
| 1912354630 | Denise Chambery | Nursing Facility/Intermediate Care Facility | 5707 W 122nd Pl, Crown Point, IN 46307-8778 | 2016-05-23 |
| 1124494760 | Maplemanor Christian Home, Inc. | Nursing Facility/Intermediate Care Facility | 643 W Utica St, Sellersburg, IN 47172-1163 | 2015-08-18 |
| 1174868822 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 120 East Miller Drive, Bloomington, IN 47407-6538 | 2012-12-06 |
| 1134493281 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 9802 Coldwater Road, Fort Wayne, IN 46825 | 2012-03-06 |
| 1447481049 | Larry Wayne Sims | Nursing Facility/Intermediate Care Facility | 1236 Lincoln Ave, Evansville, IN 47714-1056 | 2009-07-30 |
| 1720253313 | Davis Elderly Care, LLC | Nursing Facility/Intermediate Care Facility | 5139 S Hanover Saluda Rd, Hanover, IN 47243-9212 | 2008-04-24 |
| 1750585766 | Gosport Care, Inc. | Nursing Facility/Intermediate Care Facility | 27 S. 7th St., Gosport, IN 47433-0099 | 2007-06-13 |
| 1790986792 | Evansville Protestant Home Inc. | Nursing Facility/Intermediate Care Facility | 3701 Washington Ave, Evansville, IN 47714-0544 | 2007-05-29 |
| 1881816148 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 505 North Gavin Street, Muncie, IN 47303 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 47042 |
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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.