Active NPI
Henry County Memorial Hospital
Doing business as The Waters of Muncie
- Skilled Nursing Facility
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 13-000310-1
- Legal business name
- HENRY COUNTY MEMORIAL HOSPITAL
- Doing business as
- The Waters of Muncie
- Practice address
- 2400 Chateau Dr
Muncie, IN 47303-1900 - Phone
- (765) 747-9044
- Fax
- (765) 747-4954
- NPI assigned
- Jun 1, 2006
- Last updated
- Aug 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Ring
- Title
- President/Ceo
- Phone
- (765) 521-1515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 13-000310-1 | IN | Primary |
Addresses
Primary practice location
2400 Chateau Dr
Muncie, IN 47303-1900
Mailing address
2400 Chateau Dr
Muncie, IN 47303-1900
Phone (765) 747-9044
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5586760001 | Other | IN | DMERC REGION B SUPPLIER# |
| 100288970C | Medicaid | IN | |
| 000000391195 | Other | IN | ANTHEM ST |
| 000000381419 | Other | IN | ANTHEM BCBS |
| 000000391194 | Other | IN | ANTHEM PT |
Other names 1
- The Waters of Muncie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130912000154 | IN | Part A Provider - Skilled Nursing Facility | 6002724085 | Practice locations: Muncie, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1003853557. Details of each certification follow.
Skilled nursing facility certification: CCN 155443
- Legal name
- HENRY COUNTY MEMORIAL HOSPITAL
- Doing business as
- THE WATERS OF MUNCIE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1992
- Last certification
- Mar 31, 2025
- Beds
- 72
- Ownership / control type
- City/County
- Multi-facility organization
- Infinity Healthcare Manangement
- Most recent change of ownership
- Feb 19, 2013
- Organization structure
- Other
- Enrollment address
- 2400 Chateau Dr
Muncie, IN 47303-1900 - Nursing home name
- WATERS OF MUNCIE, THE
- Affiliated entity
- INFINITY HEALTHCARE CONSULTING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Waters of Muncie, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City/county
- Certified
- Apr 1, 1992
- Medicare certification status
- Active
- Certified beds
- 72
- Chain
- Infinity Healthcare Consulting
National Provider Directory
National Provider Directory- Tax ID family
- Henry County Memorial Hos
Other organizations with this tax ID 46
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Hickory Creek at Connersville
- Skilled Nursing Facility
- Connersville, IN
- NPI 1013946979
-
dba Hickory Creek at Scottsburg
- Skilled Nursing Facility
- Scottsburg, IN
- NPI 1033148820
-
dba Hickory Creek at Franklin
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053340919
-
- Family Medicine Physician
- Spiceland, IN
- NPI 1083872840
-
dba Hickory Creek at Madison
- Skilled Nursing Facility
- Madison, IN
- NPI 1104855980
-
dba Willows of New Castle
- Skilled Nursing Facility
- New Castle, IN
- NPI 1124399910
-
dba The Waters of Muncie
- Skilled Nursing Facility
- Muncie, IN
- NPI 1134489339
-
dba Hickory Creek at Peru
- Skilled Nursing Facility
- Peru, IN
- NPI 1164451944
-
dba New Castle Family & Internal Medicine at Northfield Park
- Rural Health Clinic/Center
- New Castle, IN
- NPI 1164949947
-
dba The Waters of New Castle
- Skilled Nursing Facility
- New Castle, IN
- NPI 1225397417
-
dba New Castle Walk-In Care
- Family Medicine Physician
- New Castle, IN
- NPI 1295159101
-
dba Willows of Richmond
- Skilled Nursing Facility
- Richmond, IN
- NPI 1306117197
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f1bb4645-ebf5-4d16-800a-fd209b7f9cb1/
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Brenda Alfrey | Contracted Managing Employee | Jan 25, 2020 | |
| John D Pidgeon | Corporate Director | Feb 19, 2013 | |
| County Hospital Manager LLC | Operational/Managerial Control | Feb 19, 2013 | |
| Marion E Shore | Corporate Director | Feb 19, 2013 | |
| Brian Ring | Corporate Officer | Aug 1, 2022 | |
| Henry County Memorial Hospital | 5% Or Greater Direct Ownership Interest | Feb 19, 2013 | 100% |
| Deborah Ware | Corporate Director | Aug 27, 2021 | |
| Sheldon L Dynes | Corporate Director | Feb 19, 2013 |
All facility ownership & control disclosures 39
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension St Vincent Heart Center | Hospital | Other (1%) | Jul 1, 2017 |
| Willows of Richmond | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Willows of New Castle | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Mulberry Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2013 |
| Hickory Creek at Crawfordsville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 May 7, 2025 |
| Hickory Creek at Franklin | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 Apr 27, 2025 |
| Hickory Creek at Peru | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 Apr 27, 2025 |
| Hickory Creek at Scottsburg | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 Apr 29, 2025 |
| Hickory Creek at New Castle | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 May 7, 2025 |
| Hickory Creek at Greensburg | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2013 |
| Hickory Creek at Madison | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 Apr 27, 2025 |
| Hickory Creek at Columbus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 May 7, 2025 |
| Hickory Creek at Connersville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2013 |
| Hickory Creek at Huntington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 May 7, 2025 |
| Bethel Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2013 |
| Clinton House Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 1, 2014 Jun 3, 2025 |
| Alpha Home-a Waters Community | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 4, 2014 |
| Lakeland Rehab and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 4, 2014 |
| University Park Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 4, 2014 |
| Aspen Place Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Silver Oaks Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Glen Oaks Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Forest Park Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| The Springs of Richmond | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2019 |
| The Waters of New Castle | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2020 |
| Markle Health & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Feb 1, 2022 May 7, 2025 |
| Heritage House Rehabilitation & Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2022 Apr 27, 2025 |
| Stonebrooke Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2023 May 7, 2025 |
| Bethany Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2023 Apr 28, 2025 |
| Good Samaritan Home & Rehab Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jun 1, 2023 Apr 29, 2025 |
| Evansville Protestant Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Fairway Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2024 |
| HCMH Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1990 |
| Henry County Memorial Hospital Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1990 |
| New Castle Pediatrics | Rural health clinic | 5% Or Greater Direct Ownership Interest | Aug 2, 2003 |
| New Castle Family and Internal Medicine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2011 |
| New Castle Family & Internal Medicine at Northfield Park | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 28, 2017 |
| Cambridge City Family Health Partners | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 17, 2020 |
| Middletown Family Health Partners | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 4, 2023 |
Facilities with the same owner 42
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Hickory Creek at Connersville
- Skilled Nursing Facility
- Connersville, IN
- NPI 1013946979
Henry County Memorial Hospital
-
dba Hickory Creek at Scottsburg
- Skilled Nursing Facility
- Scottsburg, IN
- NPI 1033148820
Henry County Memorial Hospital
-
dba Hickory Creek at Franklin
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053340919
Henry County Memorial Hospital
-
dba Hickory Creek at Madison
- Skilled Nursing Facility
- Madison, IN
- NPI 1104855980
Henry County Memorial Hospital
-
dba Willows of New Castle
- Skilled Nursing Facility
- New Castle, IN
- NPI 1124399910
Henry County Memorial Hospital
-
dba Hickory Creek at Peru
- Skilled Nursing Facility
- Peru, IN
- NPI 1164451944
Henry County Memorial Hospital
-
dba New Castle Family & Internal Medicine at Northfield Park
- Rural Health Clinic/Center
- New Castle, IN
- NPI 1164949947
Henry County Memorial Hospital
-
dba The Waters of New Castle
- Skilled Nursing Facility
- New Castle, IN
- NPI 1225397417
Henry County Memorial Hospital
-
dba Willows of Richmond
- Skilled Nursing Facility
- Richmond, IN
- NPI 1306117197
Henry County Memorial Hospital
-
dba Glen Oaks Health Campus
- Skilled Nursing Facility
- New Castle, IN
- NPI 1326093212
Henry County Memorial Hospital
-
dba Clinton House Health and Rehab Center
- Skilled Nursing Facility
- Frankfort, IN
- NPI 1336289867
Henry County Memorial Hospital
-
dba Henry County Memorial Hospital Hospice
- Community Based Hospice Care Agency
- New Castle, IN
- NPI 1376616581
Henry County Memorial Hospital
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660608000000",
"number": "1003853557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 CHATEAU DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031900",
"telephone_number": "765-747-9044",
"fax_number": "765-747-4954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CHATEAU DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031900",
"telephone_number": "765-747-9044",
"fax_number": "765-747-4954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A",
"authorized_official_last_name": "RING",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "765-521-1515",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "13-000310-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC REGION B SUPPLIER#",
"identifier": "5586760001",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100288970C",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ST",
"identifier": "000000391195",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000381419",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT",
"identifier": "000000391194",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Waters of Muncie",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Waters of Muncie",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muncie, IN
- Bethany Henderson, M. A.
- Bonita Henderson, LMHC
- Vickie Hendon- Washington
- Hendricks County Hospital (Brickyard Healthcare - Muncie Care Center)
- Hendricks County Hospital (The Woodlands)
- Henry County Memorial Hospital (The Waters of Muncie)
- Henry County Memorial Hospital (Muncie Walk-In Care)
- Paula Denise Henry, PT
- Dillon James Hensley, NP, APRN
- Kim M Henson, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.