NPIMap

Organization Active NPI

Rush Memorial Hospital

  • Skilled Nursing Facility
  • Rushville, IN
National Provider Identifier
1053671255
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RUSH MEMORIAL HOSPITAL
Practice address
904 E 11TH St
Rushville, IN 46173-1368
Phone
(765) 932-2974
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Brad Smith
Title
President/Ceo
Phone
(765) 932-7513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

904 E 11TH St
Rushville, IN 46173-1368

Mailing address

1300 N Main St
Rushville, IN 46173-1116

Other names 1

  • Flatrock River Lodge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120917000489 IN Part A Provider - Skilled Nursing Facility 7012802754 Practice locations: Rushville, IN

Skilled nursing facility certification: CCN 155630

Legal name
RUSH MEMORIAL HOSPITAL
Doing business as
FLATROCK RIVER LODGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 25, 1997
Last certification
Apr 10, 2025
Beds
114 (63 certified)
Ownership / control type
City/County
Multi-facility organization
Rush Memorial Hospital
Organization structure
OtherNon-profit
Enrollment address
904 E 11TH St
Rushville, IN 46173-1368
Nursing home name
FLATROCK RIVER LODGE
Affiliated entity
REAL PROPERTY HEALTH FACILITIES

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Rush Memorial Home Health10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/333e9bbc-c795-477c-b297-aba3ff88fb23/

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Leslie Sutter Individual Adp of the SNF Oct 1, 2022
Ashley Rangel Individual Operational/Managerial Control Mar 3, 2025
Adp of the SNF Mar 3, 2025
Dawn M Marsh Individual Corporate OfficerVice President Apr 15, 1994 15%
Raid Daas Individual Adp of the SNF Jul 11, 2014
Jessica Guffey Individual Adp of the SNF Feb 10, 2025
Real Property Health Facilities Corp Organization, Las Vegas, NV Corporation Operational/Managerial Control Aug 1, 1989
Bradley K Smith Individual Corporate OfficerPresident/Ceo Jun 29, 2017
Ashley Kinder Individual Corporate OfficerVP of Finance - DO Officer May 1, 2020
Shellie Sonnentag Individual Operational/Managerial Control Jun 1, 1994
Adp of the SNF Jun 1, 1994
Christina J Penn Individual Managing Control - Governing BodyManager Jan 1, 2023
Catherine Schueller Individual Operational/Managerial Control Sep 18, 2017
Adp of the SNF Sep 18, 2017
Chad Smyth Individual Operational/Managerial Control Mar 30, 2015
Adp of the SNF Mar 30, 2015
Angela Korf Individual Operational/Managerial Control Jun 16, 2022
Adp of the SNF Jun 16, 2022
Leah Hillenburg Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Rebecca Combs Individual Operational/Managerial Control Jul 15, 2024
Adp of the SNF Jul 15, 2024
Rush Memorial Hospital Organization, Rushville, IN 5% Or Greater Direct Ownership Interest Aug 1, 2012 100%
James E Hebert Individual Corporate OfficerCfo Nov 22, 1999
Operational/Managerial Control Nov 22, 1999
Adp of the SNF Nov 22, 1999
Cheryl Freimann Individual Operational/Managerial Control Jul 16, 2011
Adp of the SNF Jul 16, 2011
Carina Littrell Individual Adp of the SNF Jun 28, 2024
Carl Heider Individual Adp of the SNF Jan 1, 2011
Flatrock River Lodge, LTD Organization, Rushville, IN LLC Operational/Managerial Control May 1, 2021
Tracy Shackelford Individual Operational/Managerial Control Apr 13, 1998
Adp of the SNF Apr 13, 1998
Amy Barksdale Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Rush Memorial HospitalRushville, IN, CCN 15Z304 Hospital Other Jun 12, 2019
White River LodgeBedford, IN, CCN 155631 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Lodge of the WabashVincennes, IN, CCN 155632 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Westminster Village Health & RehabTerre Haute, IN, CCN 155221 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
RMH Healthcare Associates Rural Health ClinicRushville, IN, CCN 158539 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 24, 2019
RMH Milroy Primary CareMilroy, IN, CCN 158587 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 29, 2019

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

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

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Flatrock River LodgeCCN 155630
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Jul 25, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6327.7 residents per day on average
Chain
Real Property Health Facilities9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1053671255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731368",
            "telephone_number": "765-932-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-932-7513"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flatrock River Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.