Active NPI
Adams County Memorial Hospital
Doing business as Fort Wayne Health Campus
- Skilled Nursing Facility
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 050002831
- Legal business name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Doing business as
- Fort Wayne Health Campus
Lutheran Life Villages (Anthony) - Practice address
- 6701 South Anthony Boulevard
Fort Wayne, IN 46816-2035 - Phone
- (260) 447-0800
- Fax
- (260) 447-7369
- NPI assigned
- Jun 9, 2006
- Last updated
- Oct 31, 2026
- 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
- Kyle Sprunger
- Title
- Cfo/Treasurer
- Phone
- (260) 724-2145
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | 050002831 | IN | |
| Skilled Nursing Facility | 314000000X | 050002831 | IN | Primary |
Addresses
Primary practice location
6701 South Anthony Boulevard
Fort Wayne, IN 46816-2035
Mailing address
1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145
Other names 2
- Fort Wayne Health Campus
- Lutheran Life Villages (Anthony)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120924000853 | IN | Part A Provider - Skilled Nursing Facility | 0941198253 | Practice locations: Fort Wayne, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1073554200. Details of each certification follow.
Skilled nursing facility certification: CCN 155586
- Legal name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Doing business as
- LUTHERAN LIFE VILLAGES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1996
- Last certification
- Oct 10, 2024
- Beds
- 227 (120 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Government
- Enrollment address
- 6701 S Anthony Blvd
Fort Wayne, IN 46816-2012 - Nursing home name
- LUTHERAN LIFE VILLAGES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lutheran Life Villages
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 1, 1996
- Medicare certification status
- Active
- Certified beds
- 120
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0647515 | Lutheran Life Villages | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Adams Co Memorial Hosp
- Part of
- Adams Co Memorial Hosp
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Envive of Sullivan
- Skilled Nursing Facility
- Sullivan, IN
- NPI 1013193903
-
dba Woodland Manor
- Skilled Nursing Facility
- Elkhart, IN
- NPI 1023096138
-
dba Harrison Healthcare Center
- Skilled Nursing Facility
- Corydon, IN
- NPI 1033531462
-
dba Adams Memorial Hospital Pharmacy
- Institutional Pharmacy
- Decatur, IN
- NPI 1073691531
-
dba Pilgrim Manor
- Skilled Nursing Facility
- Plymouth, IN
- NPI 1093715468
-
dba Warsaw Meadows
- Skilled Nursing Facility
- Warsaw, IN
- NPI 1114125689
-
dba Lutheran Life Villages
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
-
dba Chase Center
- Skilled Nursing Facility
- Logansport, IN
- NPI 1144220500
-
dba Chalet Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
-
dba Lutheran Life Villages (Kendallville)
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
-
dba Cathedral Health Care Center
- Skilled Nursing Facility
- Jasper, IN
- NPI 1235205816
Ownership & related parties
All disclosed owners & managing parties 34
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 |
|---|---|---|---|
| Ron Bleke | Operational/Managerial Control | Mar 1, 2022 | |
| Managing Control - Governing Body | Mar 1, 2022 | ||
| Omnicare LLC | Adp of the SNF | Jul 19, 2017 | |
| First Bank of Berne | Adp of the SNF | Jan 1, 2020 | |
| Adams County Memorial Hospital | 5% Or Greater Direct Ownership Interest | Jul 1, 2012 | 100% |
| Operational/Managerial Control | Jul 1, 2012 | ||
| Scott E Lehman | Operational/Managerial Control | Jul 14, 2020 | |
| Trustee of the SNF | Jul 14, 2020 | ||
| Lutheran Homes, Inc. | Operational/Managerial Control | Jul 1, 2012 | |
| Adp of the SNF | Jul 1, 2012 | ||
| Healthcare Therapy Services Inc | Operational/Managerial Control | Jul 1, 2012 | |
| Adp of the SNF | Jul 1, 2012 | ||
| Randy Grote | Operational/Managerial Control | Mar 1, 2016 | |
| Managing Control - Governing Body | Mar 1, 2016 | ||
| Craig Linnemeier | Operational/Managerial Control | Mar 1, 2016 | |
| Managing Control - Governing Body | Mar 1, 2016 | ||
| Chris Hanke | Operational/Managerial Control | Mar 1, 2018 | |
| Managing Control - Governing Body | Mar 1, 2018 | ||
| Lowell Teska | Operational/Managerial Control | Mar 1, 2020 | |
| Managing Control - Governing Body | Mar 1, 2020 | ||
| Heidi Adair | Operational/Managerial Control | Mar 1, 2020 | |
| Managing Control - Governing Body | Mar 1, 2020 | ||
| Larry Macklin | Corporate Officer | Jan 1, 2008 | |
| Corporate Director | Jan 1, 2008 | ||
| Operational/Managerial Control | Jul 1, 2012 | ||
| Trustee of the SNF | Jul 1, 2012 | ||
| Kevin Rush | Operational/Managerial Control | Mar 1, 2024 | |
| Managing Control - Governing Body | Mar 1, 2024 | ||
| Dane Wheeler | Corporate Officer | Sep 14, 2009 | 100% |
| Operational/Managerial Control | Jul 1, 2012 | ||
| Bryan Bohnke | Operational/Managerial Control | Mar 1, 2023 | |
| Managing Control - Governing Body | Mar 1, 2023 | ||
| Russell W Flueckiger | Corporate Officer | Jan 1, 2006 | |
| Corporate Director | Jan 1, 2006 | ||
| Operational/Managerial Control | Jul 1, 2012 | ||
| Trustee of the SNF | Jul 1, 2012 | ||
| David McIntire | Operational/Managerial Control | Jan 1, 2019 | |
| Trustee of the SNF | Jan 1, 2019 | ||
| Tricia Neary | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Mark Price | Operational/Managerial Control | May 22, 2020 | |
| Adp of the SNF | May 22, 2020 | ||
| Jane Fink | Operational/Managerial Control | Mar 1, 2022 | |
| Managing Control - Governing Body | Mar 1, 2022 | ||
| Candice Borne-Bauman | Operational/Managerial Control | Jan 1, 2019 | |
| Trustee of the SNF | Jan 1, 2019 | ||
| Blue Management Services LLC | Adp of the SNF | Jan 1, 2024 | |
| Kyle Sprunger | Corporate Officer | Jan 1, 2018 | |
| Operational/Managerial Control | Jan 1, 2018 | ||
| Emily Nehring | Operational/Managerial Control | Mar 1, 2024 | |
| Managing Control - Governing Body | Mar 1, 2024 | ||
| Alexander Kiefer | Operational/Managerial Control | Jul 1, 2012 | |
| Adp of the SNF | Jul 1, 2012 | ||
| Forvis Mazars LLP | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Thomas a Kintanar | Operational/Managerial Control | Jul 1, 2012 | |
| Adp of the SNF | Jul 1, 2012 | ||
| Greg Messmann | Operational/Managerial Control | Mar 1, 2021 | |
| Alison Park | Operational/Managerial Control | Mar 1, 2018 | |
| Managing Control - Governing Body | Mar 1, 2018 | ||
| Chris Walda | Operational/Managerial Control | Mar 1, 2025 | |
| Managing Control - Governing Body | Mar 1, 2025 | ||
| Scott T Smith | Corporate Officer | Jan 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Tom Trent | Operational/Managerial Control | Mar 1, 2022 | |
| Managing Control - Governing Body | Mar 1, 2022 | ||
| Debbie Gotsch | Operational/Managerial Control | Mar 1, 2019 | |
| Managing Control - Governing Body | Mar 1, 2019 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1750326351
Adp of the SNF, Operational/Managerial Control
-
- Optometrist
- Berne, IN
- NPI 1619977113
Operational/Managerial Control, Trustee of the SNF
All facility ownership & control disclosures 59
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Adams County Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams County Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams Woodcrest | 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 Heritage | 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 Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2012 May 1, 2012 |
| Warsaw Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Colonial Nursing Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2012 Jun 1, 2012 |
| Lutheran Life Villages | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Hawthorne Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Kendallville Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2012 Oct 1, 2012 |
| Northwest Manor Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Cloverleaf of Knightsville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Majestic Care of Goshen | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 19, 2013 Feb 19, 2013 |
| Caroleton Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2013 May 1, 2013 |
| Christian Care Retirement Community | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2013 Jan 1, 2025 |
| Cathedral Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2014 Nov 1, 2014 |
| River Terrance Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2014 |
| Lutheran Life Villages | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| The Cedars | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2015 Jun 1, 2015 |
| Chesterton Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Yorktown Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Sacred Heart Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2015 |
| Majestic Care of New Haven | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2015 Nov 1, 2015 |
| Chalet Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2015 Jul 1, 2013 |
| Silver Memories Health Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 1, 2015 Oct 1, 2015 |
| Saint Anne Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2016 Sep 1, 2016 |
| Holy Cross Rehabilitation and Wellness | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2017 |
| Swiss Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2018 |
| Oak Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2017 Dec 1, 2017 |
| Shady Nook Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2020 Sep 1, 2020 |
| Envive of Lawrenceburg | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2021 Dec 1, 2021 |
| The Waters of Georgetown | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Envive of Berne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2021 Dec 1, 2021 |
| Envive of Huntington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Anderson | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Indianapolis | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Hartford City | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Envive of Sullivan | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Heritage Pointe of Huntington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Heritage Pointe of Warren | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Heritage Pointe of Fort Wayne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Envive of Beech Grove | Skilled nursing facility | Direct Ownership Interest (100%) | Oct 1, 2022 |
| River Bend Nursing and Rehbilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2022 Sep 1, 2022 |
| Manderley Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2022 Dec 1, 2022 |
| Envive of Evansville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2023 Jul 1, 2023 |
| Harrison Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Rolling Hills Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Sellersburg Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Wedgewood Healthcare Center | 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 Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Chase Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Pilgrim Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2024 Jan 1, 2025 |
| Envive of Muncie | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
| Envive of Liberty | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
| Monroe Family Medicine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams Statcare and Behavioral Health | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Decatur Family Medicine - Woodcrest Connection | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Adams Medical Group - High Street | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2019 |
| Adams Medical Group - Geneva | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2025 |
Facilities with the same owner 139
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Envive of Sullivan
- Skilled Nursing Facility
- Sullivan, IN
- NPI 1013193903
Adams County Memorial Hospital
-
dba The Cedars
- Skilled Nursing Facility
- Leo, IN
- NPI 1023003118
Adams County Memorial Hospital, Forvis Mazars LLP, Healthcare Therapy Services Inc
-
dba Woodland Manor
- Skilled Nursing Facility
- Elkhart, IN
- NPI 1023096138
Adams County Memorial Hospital
-
dba Harrison Healthcare Center
- Skilled Nursing Facility
- Corydon, IN
- NPI 1033531462
Adams County Memorial Hospital
-
dba Pilgrim Manor
- Skilled Nursing Facility
- Plymouth, IN
- NPI 1093715468
Adams County Memorial Hospital
-
dba Warsaw Meadows
- Skilled Nursing Facility
- Warsaw, IN
- NPI 1114125689
Adams County Memorial Hospital
-
dba Lutheran Life Villages
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Adams County Memorial Hospital, Forvis Mazars LLP, Healthcare Therapy Services Inc, Lutheran Homes, Inc.
-
dba Chase Center
- Skilled Nursing Facility
- Logansport, IN
- NPI 1144220500
Adams County Memorial Hospital
-
dba Chalet Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Adams County Memorial Hospital, Forvis Mazars LLP
-
dba Lutheran Life Villages (Kendallville)
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Adams County Memorial Hospital, Forvis Mazars LLP, Healthcare Therapy Services Inc, Lutheran Homes, Inc.
-
dba Cathedral Health Care Center
- Skilled Nursing Facility
- Jasper, IN
- NPI 1235205816
Adams County Memorial Hospital
-
dba Envive of Huntington
- Skilled Nursing Facility
- Huntington, IN
- NPI 1235315425
Adams County Memorial Hospital
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": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793404800000",
"number": "1073554200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MERCER AVE",
"city": "DECATUR",
"state": "IN",
"postal_code": "467332303",
"telephone_number": "260-724-2145",
"fax_number": "260-728-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 SOUTH ANTHONY BOULEVARD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468162035",
"telephone_number": "260-447-0800",
"fax_number": "260-447-7369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAMS COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2026-10-31",
"certification_date": "2026-10-31",
"status": "A",
"authorized_official_last_name": "SPRUNGER",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "CFO/TREASURER",
"authorized_official_telephone_number": "260-724-2145"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IN",
"license": "050002831",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "050002831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fort Wayne Health Campus",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lutheran Life Villages (Anthony)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Wayne, IN
- Cierra Adair
- Jennifer Adair
- Luther Bert Adair II, M.D.
- Regina Michelle Adair, MD
- Denise R Adamonis, LPN
- Adams County Memorial Hospital (Lutheran Life Villages)
- Adams County Memorial Hospital (Chateau Rehabilitation and Healthcare Center)
- Adams County Memorial Hospital (Heritage Pointe of Fort Wayne)
- Adams County Memorial Hospital (Saint Anne home)
- Susan M Adams-Hayes, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; 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.