NPIMap

Organization Active NPI

Adams County Memorial Hospital

Doing business as Breckenridge Health & Rehabilitation

  • Skilled Nursing Facility
  • Sullivan, IN
National Provider Identifier
1013193903
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
110005251 Issued in IN
Legal business name
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as
Breckenridge Health & Rehabilitation
Envive of Sullivan
Practice address
325 West Northwood Drive
Sullivan, IN 47882-7515
Phone
(812) 268-3351
Fax
(812) 268-3765
NPI assigned
Jan 10, 2008
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dane E Wheeler, CPA
Title
Cfo
Phone
(260) 724-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 110005251 IN Primary

Addresses

Primary practice location

325 West Northwood Drive
Sullivan, IN 47882-7515

Mailing address

1100 Mercer Avenue
Decatur, IN 46733-2303
Phone (260) 724-2145

Other identifiers 1

IdentifierTypeStateIssuer
100267010BMedicaidIN

Other names 2

  • BRECKENRIDGE HEALTH & REHABILITATION Doing business as
  • Envive of Sullivan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220407002047 IN Part A Provider - Skilled Nursing Facility 0941198253 Practice locations: Sullivan, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013193903. Details of each certification follow.

Skilled nursing facility certification: CCN 155468

Legal name
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as
ENVIVE OF SULLIVAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1992
Last certification
Jun 2, 2025
Beds
77
Ownership / control type
Corporation
Multi-facility organization
Envive Nursing Holdings LLC
Most recent change of ownership
Jan 1, 2022
Organization structure
GovernmentNon-profit
Enrollment address
325 W Northwood Dr
Sullivan, IN 47882-7515
Nursing home name
ENVIVE OF SULLIVAN
Affiliated entity
ENVIVE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Envive of SullivanCCN 155468 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7740.2 residents per day on average
Chain
Envive Healthcare12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Adams Co Memorial Hospi73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adams County Memorial Hospital Organization, Decatur, IN Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Dane Wheeler Individual Corporate OfficerChief Financial Officer Jan 1, 2022 100%
Russell W Flueckiger Individual Operational/Managerial Control Nov 22, 2025
Kyle Sprunger Individual Corporate OfficerAssistant Chief Financial Office Jan 1, 2022 100%
Envive Nursing Holdings, LLC Organization, Lincolnwood, IL LLC, Management services company, Holding company Operational/Managerial Control Jan 1, 2022 100%
Scott T Smith Individual Corporate OfficerChief Executive Officer Jan 1, 2022 100%

All facility ownership & control disclosures 59

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adams County Memorial HospitalDecatur, IN, CCN 151330 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams County Memorial HospitalDecatur, IN, CCN 15Z330 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams WoodcrestDecatur, IN, CCN 155747 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 22, 2005
Nov 22, 2005
Nov 22, 2005
Adams HeritageMonroeville, IN, CCN 155729 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 28, 2004
Apr 28, 2004
Apr 28, 2004
Woodland ManorElkhart, IN, CCN 155086 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2012
May 1, 2012
Warsaw MeadowsWarsaw, IN, CCN 155566 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Colonial Nursing HomeCrown Point, IN, CCN 155733 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2012
Jun 1, 2012
Lutheran Life VillagesKendallville, IN, CCN 155744 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Hawthorne Healthcare CenterIndianapolis, IN, CCN 155780 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Lutheran Life VillagesFort Wayne, IN, CCN 155586 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Kendallville ManorKendallville, IN, CCN 155482 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2012
Oct 1, 2012
Northwest Manor Health Care CenterIndianapolis, IN, CCN 155041 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Cloverleaf of KnightsvilleKnightsville, IN, CCN 155542 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Majestic Care of GoshenGoshen, IN, CCN 155689 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 19, 2013
Feb 19, 2013
Caroleton Healthcare CenterConnersville, IN, CCN 155387 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2013
May 1, 2013
Christian Care Retirement CommunityBluffton, IN, CCN 155701 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2013
Jan 1, 2025
Cathedral Health Care CenterJasper, IN, CCN 155720 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2014
Nov 1, 2014
River Terrance Health Care CenterBluffton, IN, CCN 155726 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2014
Lutheran Life VillagesFort Wayne, IN, CCN 155800 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
The CedarsLeo, IN, CCN 155796 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2015
Jun 1, 2015
Chesterton ManorChesterton, IN, CCN 155246 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 1, 2015
Aug 1, 2015
Yorktown ManorYorktown, IN, CCN 155238 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 1, 2015
Aug 1, 2015
Sacred Heart VillageAvilla, IN, CCN 155512 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
Majestic Care of New HavenNew Haven, IN, CCN 155207 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2015
Nov 1, 2015
Chalet Rehabilitation and Healthcare CenterIndianapolis, IN, CCN 155336 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2015
Jul 1, 2013
Silver Memories Health CareVersailles, IN, CCN 155847 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 1, 2015
Oct 1, 2015
Saint Anne HomeFort Wayne, IN, CCN 155349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2016
Sep 1, 2016
Holy Cross Rehabilitation and WellnessSouth Bend, IN, CCN 155506 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2017
Swiss VillageBerne, IN, CCN 155707 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2018
Oak VillageOaktown, IN, CCN 155714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2017
Dec 1, 2017
Shady Nook Care CenterLawrenceburg, IN, CCN 155525 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2020
Sep 1, 2020
Envive of LawrenceburgLawrenceburg, IN, CCN 155061 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2021
Dec 1, 2021
The Waters of GeorgetownGeorgetown, IN, CCN 155770 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Envive of BerneBerne, IN, CCN 155473 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2021
Dec 1, 2021
Envive of HuntingtonHuntington, IN, CCN 155531 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of AndersonAnderson, IN, CCN 155690 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of IndianapolisIndianapolis, IN, CCN 155077 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of Hartford CityHartford City, IN, CCN 155699 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Heritage Pointe of HuntingtonHuntington, IN, CCN 155692 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022
Heritage Pointe of WarrenWarren, IN, CCN 155705 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022
Heritage Pointe of Fort WayneFort Wayne, IN, CCN 155828 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022
Envive of Beech GroveBeech Grove, IN, CCN 155859 Skilled nursing facility Direct Ownership Interest (100%) Oct 1, 2022
River Bend Nursing and RehbilitationEvansville, IN, CCN 155621 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2022
Sep 1, 2022
Manderley Health Care CenterOsgood, IN, CCN 155728 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2022
Dec 1, 2022
Envive of EvansvilleEvansville, IN, CCN 155716 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2023
Jul 1, 2023
Harrison Healthcare CenterCorydon, IN, CCN 155657 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2023
Dec 1, 2023
Rolling Hills Healthcare CenterNew Albany, IN, CCN 155488 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2023
Dec 1, 2023
Sellersburg Healthcare CenterSellersburg, IN, CCN 155659 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2023
Dec 1, 2023
Wedgewood Healthcare CenterClarksville, IN, CCN 155265 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Dec 1, 2023
Dec 1, 2023
Dec 31, 2025
Indian Creek Healthcare CenterCorydon, IN, CCN 155312 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2023
Dec 1, 2023
Chase CenterLogansport, IN, CCN 155710 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024
Pilgrim ManorPlymouth, IN, CCN 155073 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2024
Jan 1, 2025
Envive of MuncieMuncie, IN, CCN 155549 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2025
Jan 1, 2025
Envive of LibertyLiberty, IN, CCN 155507 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2025
Jan 1, 2025
Monroe Family MedicineMonroe, IN, CCN 158526 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams Statcare and Behavioral HealthDecatur, IN, CCN 158537 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Decatur Family Medicine - Woodcrest ConnectionDecatur, IN, CCN 158536 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Adams Medical Group - High StreetDecatur, IN, CCN 158555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Adams Medical Group - GenevaGeneva, IN, CCN 158599 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025

Facilities with the same owner 57

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 57

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1013193903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MERCER AVENUE",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332303",
            "telephone_number": "260-724-2145",
            "fax_number": "317-818-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WEST NORTHWOOD DRIVE",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827515",
            "telephone_number": "812-268-3351",
            "fax_number": "812-268-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "260-724-2145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "110005251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267010B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRECKENRIDGE HEALTH & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Envive of Sullivan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sullivan, IN

Sources for this page

Verify at the official NPI Registry.