Adams County Memorial Hospital
Organization Active NPI Skilled Nursing Facility · Fort Wayne, IN
NPI 1073554200 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1073554200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 050002831 (IN)
- Legal business name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Practice address
- 6701 South Anthony Boulevard
Fort Wayne, IN 46816-2035 - Phone
- (260) 447-0800
- Fax
- (260) 447-7369
- NPI assigned
- Jun 9, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ADAMS COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Kyle Sprunger
- Title
- Cfo/Treasurer
- Phone
- (260) 724-2145
Owners & managing parties with NPI records 2
-
Scott E Lehman, O.D.
Corporate family (same tax ID) 16
Facilities with the same owner 139
Affiliated clinicians 2
-
Eamonn M Keane, MD
Medicare Care Compare: Nursing home
- Listed as
- Lutheran Life Villages
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 1, 1996
- Medicare certification status
- Active
- Certified beds
- 120 · 92.8 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0647515 | Lutheran Life Villages | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
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 · Non-profit
- Enrollment address
- 6701 S Anthony Blvd
Fort Wayne, IN 46816-2012 - Nursing home name
- LUTHERAN LIFE VILLAGES
All disclosed owners & managing parties 34
| 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 |
All facility ownership & control disclosures 59
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120924000853 | IN | Part a Provider - Skilled Nursing Facility | 0941198253 | Practice locations: Fort Wayne, IN |
National Provider Directory
- Tax ID family
- Adams Co Memorial Hosp
- Part of
- Adams Co Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | 050002831 | IN | |
| Skilled Nursing Facility | 314000000X | 050002831 | IN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201235720A | Medicaid | IN | |
| 100275020 | Medicaid | IN | |
| 0220 | Other | RCAP |
Other names
- Lutheran Life Villages (Anthony)
Other providers in Fort Wayne, IN
- Cierra Adair
- Jennifer Adair
- Luther Bert Adair II
- Regina Michelle Adair
- Denise R Adamonis
- Adams County Memorial Hospital
- Adams County Memorial Hospital
- Adams County Memorial Hospital
- Susan M Adams-Hayes
- Abigail Adams
All providers in Fort Wayne, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.