NPIMap

Organization Active NPI

Hendricks County Hospital

Doing business as Hamilton Trace of Fishers

  • Skilled Nursing Facility
  • Fishers, IN
National Provider Identifier
1033416243
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HENDRICKS COUNTY HOSPITAL
Doing business as
Hamilton Trace of Fishers
Practice address
11851 Cumberland Road
Fishers, IN 46037-8273
Phone
(812) 332-2265
Fax
(812) 334-0853
NPI assigned
Feb 24, 2011
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Mr. Gary Simpson
Title
Controller
Phone
(317) 745-3509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

11851 Cumberland Road
Fishers, IN 46037-8273

Mailing address

2749 E Covenanter Dr
Bloomington, IN 47401-5454
Phone (812) 332-2265

Other names 1

  • Hamilton Trace of Fishers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140411001375 IN Part A Provider - Skilled Nursing Facility 4880505528 Practice locations: Fishers, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033416243. Details of each certification follow.

Skilled nursing facility certification: CCN 155793

Legal name
HENDRICKS COUNTY HOSPITAL
Doing business as
HAMILTON TRACE OF FISHERS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 25, 2011
Last certification
May 12, 2025
Beds
210 (108 certified)
Ownership / control type
Corporation
Multi-facility organization
CarDon & Associates
Most recent change of ownership
Dec 15, 2013
Organization structure
GovernmentNon-profit
Enrollment address
11851 Cumberland Rd
Fishers, IN 46037-8273
Nursing home name
HAMILTON TRACE OF FISHERS
Affiliated entity
CARDON & ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hamilton Trace of FishersCCN 155793 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 25, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
108102.6 residents per day on average
Chain
Cardon & Associates19 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Indiana Adult Pediatr110 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

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

View all 13

Locations

11851 Cumberland Rd
Fishers, IN 46037
Phone (317) 813-4444

Ownership & related parties

All disclosed owners & managing parties 43

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

NameRoleSinceShare
Amy Haug Individual Operational/Managerial Control Jan 4, 2022
Adp of the SNF Jan 4, 2022
Thomas McClelland Individual Operational/Managerial Control Dec 26, 2021
Adp of the SNF Dec 26, 2021
Ankura Consulting Group LLC Organization, New York, NY LLC, Consulting firm Adp of the SNF Jun 15, 2022
Eric McIntosh Individual Operational/Managerial Control Oct 31, 2021
Adp of the SNF Oct 31, 2021
Cole Marketing Communications Inc Organization, Carmel, IN Consulting firm, For-profit Adp of the SNF Apr 1, 2015
Orix Real Estate Capital LLC Organization, New York, NY LLC, Financial institution 5% Or Greater Security Interest Apr 22, 2015
Adp of the SNF Apr 22, 2015
Zachary Cattell Individual Operational/Managerial Control Apr 7, 2025
Adp of the SNF Apr 7, 2025
Healthdrive Podiatry Group PA Organization, Wellesley, MA Medical provider/supplier, For-profit Adp of the SNF Mar 7, 2019
Lument Real Estate Capital LLC Organization, New York, NY LLC, Financial institution 5% Or Greater Security Interest Apr 22, 2015
Adp of the SNF Apr 22, 2015
Timothy a Whicker Individual Corporate DirectorBoard Member Jan 12, 2022
Managing Control - Governing BodyBoard Member Jan 12, 2022
Deanna M Fenoughty Individual Corporate OfficerPresident and Ceo Jul 10, 2023
Operational/Managerial Control Jul 10, 2023
Managing Control - Governing BodyPresident and Ceo Jul 10, 2023
Vox Global LLC Organization, Indianapolis, IN LLC, Consulting firm Adp of the SNF Feb 28, 2019
Cardon Management Company LLC Organization, Bloomington, IN LLC, Management services company, Consulting firm Operational/Managerial Control Oct 17, 2013
Adp of the SNF Oct 17, 2013
Cardon Management Company II LLC Organization, Bloomington, IN LLC, Management services company Operational/Managerial Control Oct 17, 2013
Adp of the SNF Oct 17, 2013
Moser Consulting Incorporated Organization, Indianapolis, IN Corporation, Consulting firm, For-profit Adp of the SNF Apr 1, 2020
Mobile Audiology Associates PC Organization, Wellesley, MA Adp of the SNF Mar 7, 2019
Erin M Engels Individual Corporate DirectorBoard Member Dec 1, 2014
Managing Control - Governing BodyBoard Member Oct 12, 2012
John Waite Individual Corporate DirectorVice Chair Aug 1, 2020
Managing Control - Governing BodyBoard Member Aug 1, 2020
Robert Stewart Individual Operational/Managerial Control Feb 7, 2022
Adp of the SNF Feb 7, 2022
Cardon and Associates Inc Organization, Bloomington, IN Corporation, Management services company Operational/Managerial Control Aug 23, 2013
Adp of the SNF Aug 23, 2013
Lateasa Tyler Individual Adp of the SNF May 1, 2021
Gregg Gormal Individual Operational/Managerial Control Oct 1, 2016
Adp of the SNF Oct 1, 2016
Hendricks County Hospital Organization, Danville, IN Non-profit 5% Or Greater Direct Ownership Interest Dec 15, 2013 100%
Hamilton Trace Property LLC Organization, Bloomington, IN LLC Adp of the SNF Apr 8, 2010
Matthew D Balla Individual Operational/Managerial Control May 23, 2022
Adp of the SNF May 23, 2022
Allie Craycraft Individual Operational/Managerial Control Nov 29, 2021
Adp of the SNF Nov 29, 2021
Lacy Beyl & Company Inc Organization, Fishers, IN Corporation, Consulting firm, For-profit Adp of the SNF Jul 15, 2015
Respiratory Partners Inc Organization, Indianapolis, IN Corporation, Medical provider/supplier, For-profit Adp of the SNF Nov 1, 2019
Lifespan Therapy LLC Organization, Bloomington, IN LLC, Medical provider/supplier Adp of the SNF Oct 25, 2007
Mark Edward Gentry Individual Corporate DirectorBoard Member Jan 12, 2022
Managing Control - Governing BodyBoard Member Jan 12, 2022
Third Eye Health Inc Organization, Chicago, IL Corporation, Medical provider/supplier, For-profit Adp of the SNF Feb 4, 2022
Leaann Renee Spencer Individual Adp of the SNF Jun 18, 2018
Tyler Starkey Individual Corporate DirectorSecretary Aug 1, 2020
Managing Control - Governing BodyBoard Member Aug 1, 2020
Forvis Mazars LLP Organization, Springfield, MO Consulting firm, For-profit Adp of the SNF Jan 1, 2021
Kendra Fauth Individual Operational/Managerial Control Dec 26, 2021
Adp of the SNF Dec 26, 2021
Jeffrey L Morer OD PC Organization, Wellesley, MA Medical provider/supplier, For-profit Adp of the SNF Mar 7, 2019
Bradley & Associates Inc Organization, Indianapolis, IN Corporation, Consulting firm, For-profit Adp of the SNF Jan 1, 2023
Lynn Lopossa Individual Operational/Managerial Control Dec 17, 2023
Adp of the SNF Dec 17, 2023
Jim Karner Individual Operational/Managerial Control Jun 18, 2012
Adp of the SNF Jun 18, 2012
Kent N Rodgers Individual Operational/Managerial Control Oct 4, 2021
Adp of the SNF Oct 4, 2021
George Hoyek Individual Operational/Managerial Control Oct 1, 2016
Adp of the SNF Oct 1, 2016
Heart of Cardon LLC Organization, Bloomington, IN LLC, Consulting firm Adp of the SNF Sep 6, 2007
Med-Pass Incorporated Organization, Dayton, OH Corporation, For-profit Adp of the SNF Sep 1, 2020

Owners & managing parties with NPI records 24

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 24

All facility ownership & control disclosures 46

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

FacilityTypeRoleSince
Hendricks Regional HealthDanville, IN, CCN 150005 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Laporte Care CenterLa Porte, IN, CCN 155062 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Churchman Care CenterIndianapolis, IN, CCN 155138 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Bloomington Care CenterBloomington, IN, CCN 155278 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brookview Care CenterIndianapolis, IN, CCN 155076 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Sycamore Village Care CenterKokomo, IN, CCN 155367 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Valparaiso Care CenterValparaiso, IN, CCN 155137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Twelfth Street Care CenterMishawaka, IN, CCN 155109 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Merrillville Care CenterMerrillville, IN, CCN 155362 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodbridge Care CenterEvansville, IN, CCN 155390 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Portage Care CenterPortage, IN, CCN 155187 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Lincoln Hills Care CenterTell City, IN, CCN 155384 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Golden Rule Care CenterRichmond, IN, CCN 155264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Elkhart Care CenterElkhart, IN, CCN 155685 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brandywine Care CenterGreenfield, IN, CCN 155120 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brentwood Care CenterEvansville, IN, CCN 155248 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Terrace Care CenterLa Porte, IN, CCN 155136 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Knox Care CenterKnox, IN, CCN 155686 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodlands Care CenterNewburgh, IN, CCN 155252 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Fountainview Care CenterMishawaka, IN, CCN 155178 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Muncie Care CenterMuncie, IN, CCN 155687 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brownsburg Health Care CenterBrownsburg, IN, CCN 155206 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Castleton Health Care CenterIndianapolis, IN, CCN 155245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Brickyard Healthcare - Petersburg Care CenterPetersburg, IN, CCN 155375 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Richmond Care CenterRichmond, IN, CCN 155157 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Willow Springs Care CenterIndianapolis, IN, CCN 155834 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 10, 2015
The Waters of LebanonLebanon, IN, CCN 155211 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 15, 2017
Westside Retirement VillageIndianapolis, IN, CCN 155606 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2018
Feb 24, 2025
Mitchell ManorMitchell, IN, CCN 155324 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2018
Feb 25, 2025
Life Care Center of Ft WayneFort Wayne, IN, CCN 155266 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2018
Feb 26, 2025
Heritage HealthcareWest Lafayette, IN, CCN 155402 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Sep 1, 2018
Feb 26, 2025
Life Care Center of the WillowsValparaiso, IN, CCN 155158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 24, 2025
Hammond-Whiting Care CenterWhiting, IN, CCN 155423 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 27, 2025
Parkview Care CenterEvansville, IN, CCN 155348 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 24, 2025
Life Care Center of Michigan CityMichigan City, IN, CCN 155344 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 25, 2025
Life Care Center of LagrangeLagrange, IN, CCN 155343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 27, 2025
The Lane HouseCrawfordsville, IN, CCN 155477 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Sep 1, 2012
Feb 20, 2025
The WoodlandsMuncie, IN, CCN 155229 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2018
Feb 26, 2025
Life Care Center of ValparaisoValparaiso, IN, CCN 155331 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2018
Feb 21, 2025
Green Valley Care CenterNew Albany, IN, CCN 155070 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2018
Feb 28, 2025
Life Care Center of RochesterRochester, IN, CCN 155379 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2018
Feb 27, 2025
Rensselaer Care CenterRensselaer, IN, CCN 155287 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2018
Feb 27, 2025
Byron Health CenterFort Wayne, IN, CCN 155364 Skilled nursing facility Direct Ownership Interest (100%) Aug 1, 2020
Hickory Creek at SunsetGreencastle, IN, CCN 155565 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2022
May 7, 2025
Suburban Home Health, LLCNoblesville, IN, CCN 157092 Home health agency 5% Or Greater Indirect Ownership Interest (12.82%) Sep 3, 2024
Suburban HospiceNoblesville, IN, CCN 151547 Hospice 5% Or Greater Indirect Ownership Interest (12.82%) Nov 1, 2024

Facilities with the same owner 64

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

View all 64

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1033416243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 E COVENANTER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015454",
            "telephone_number": "812-332-2265",
            "fax_number": "812-334-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 CUMBERLAND ROAD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378273",
            "telephone_number": "812-332-2265",
            "fax_number": "812-334-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-745-3509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Trace of Fishers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.