NPIMap

Organization Active NPI

Jackson County Schneck Memorial Hospital

Doing business as Signature HealthCARE of Terre Haute

  • Skilled Nursing Facility
  • Terre Haute, IN
National Provider Identifier
1083955124
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
Signature HealthCARE of Terre Haute
Practice address
3500 Maple Ave
Terre Haute, IN 47804-1732
Phone
(812) 238-1555
Fax
(812) 238-2514
NPI assigned
Mar 14, 2013
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Warren Forgey
Title
Treasurer
Phone
(812) 522-0172

Specialties & licenses 1

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

Addresses

Primary practice location

3500 Maple Ave
Terre Haute, IN 47804-1732

Mailing address

3500 Maple Ave
Terre Haute, IN 47804-1732
Phone (812) 238-1555

Other identifiers 1

IdentifierTypeStateIssuer
100275360CMedicaidIN

Other names 1

  • Signature HealthCARE of Terre Haute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000320 IN Part A Provider - Skilled Nursing Facility 8224004585 Practice locations: Terre Haute, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083955124. Details of each certification follow.

Skilled nursing facility certification: CCN 155426

Legal name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
SIGNATURE HEALTHCARE OF TERRE HAUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 10, 1992
Last certification
Jan 28, 2025
Beds
176
Ownership / control type
Corporation
Multi-facility organization
Signature Healthcare
Organization structure
OtherNon-profit
Enrollment address
3500 Maple Ave
Terre Haute, IN 47804-1732
Nursing home name
SIGNATURE HEALTHCARE OF TERRE HAUTE
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare of Terre HauteCCN 155426 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 10, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
176118.9 residents per day on average
Chain
Signature Healthcare67 facilities in the chain
Penalties (3 years)
3Fines totaling $66,207

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0667412Dba Signature Healthcare of Terre Haute3500 Maple Ave, Terre Haute, IN 47804Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Schneck Hosp34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Jack L McCory Individual Corporate DirectorBoard Member May 1, 2013
Rick L Smith Individual Corporate DirectorVice Chariman May 1, 2013
Andrew B Markel Individual Corporate DirectorBoard Member Sep 1, 2020
Sabra Health Care Reit Inc Organization, Tustin, CA Corporation, Real estate investment trust (REIT), Owned by another organization or individual Indirect Ownership Interest Aug 12, 2015
Courtney B Kleber Individual Corporate DirectorBoard Member Sep 1, 2020
Barbara Revelette Individual Corporate Officer Jan 17, 2022
Operational/Managerial Control Jan 17, 2022
Adp of the SNF Jan 17, 2022
Deborah a Mann Individual Corporate OfficerVP of Finance/Cfo Feb 10, 2014
Operational/Managerial Control Feb 5, 2026
Thomas James Martin Individual Operational/Managerial Control Aug 5, 2023
Adp of the SNF Aug 5, 2023
Maria Doyle Individual Corporate Officer Jul 1, 2021
Adp of the SNF Jul 1, 2021
Matthew K Reedy Individual Corporate DirectorBoard Member May 1, 2013
Jennifer Moore Individual Corporate Officer Aug 12, 2024
Operational/Managerial Control Aug 12, 2024
Adp of the SNF Aug 12, 2024
Asbr Holdings LLC Organization, Louisville, KY LLC, Holding company Operational/Managerial Control May 1, 2018
Terrence L Gilliland Individual Corporate DirectorBoard Member May 1, 2013
Susan D Bevers Individual Corporate DirectorBoard Member Sep 1, 2020
Eric D Fish Individual Corporate OfficerPresident/Ceo Sep 1, 2020
SHC in Holdings LLC Organization, Louisville, KY LLC, Holding company Adp of the SNF Feb 5, 2026
LP Terre Haute Management, LLC Organization, Louisville, KY LLC Operational/Managerial Control Jan 1, 2022
Jared B Houck Individual Corporate Officer Apr 29, 2024
Operational/Managerial Control Apr 29, 2024
Adp of the SNF Apr 29, 2024
John H Harrison Individual Corporate Officer May 1, 2013
Operational/Managerial Control May 1, 2013
Adp of the SNF May 1, 2013
Brandon J Harpe Individual Corporate DirectorBoard Member Sep 1, 2020
Jackson County Schneck Memorial Hospital Organization, Seymour, IN 5% Or Greater Direct Ownership Interest May 1, 2013 100%
Catherine Macke Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Alicia Iocoangeli Individual Operational/Managerial Control Apr 7, 2025
Adp of the SNF Apr 7, 2025
Marc Storey Individual Trustee of the SNF Jan 1, 2025
Timothy H Lehner Individual Corporate Officer Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jjla LLC Organization, Louisville, KY LLC, Owned by another organization or individual Direct Ownership Interest May 1, 2013

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 17

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

FacilityTypeRoleSince
Schneck Medical CenterSeymour, IN, CCN 150065 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Schneck Medical CenterSeymour, IN, CCN 15U065 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1966
Lutheran Community HomeSeymour, IN, CCN 155715 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2012
Jul 1, 2012
Hoosier Health & Living CommunityBrownstown, IN, CCN 155611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Signature Healthcare of MuncieMuncie, IN, CCN 155242 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 May 1, 2013
May 1, 2013
Oct 3, 2025
Signature Healthcare at ParkwoodLebanon, IN, CCN 155378 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
Crown Point Health CampusCrown Point, IN, CCN 155637 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Majestic Care of NewburghNewburgh, IN, CCN 155670 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Majestic Care of LafayetteLafayette, IN, CCN 155243 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Chateau Rehabilitation and Healthcare CenterFort Wayne, IN, CCN 155249 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Majestic Care of South BendSouth Bend, IN, CCN 155219 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)		 Aug 1, 2013
Aug 1, 2013
Bertha D Garten Ketcham Memorial CenterOdon, IN, CCN 155539 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 2, 2013
May 19, 2025
Signature Healthcare of BremenBremen, IN, CCN 155474 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 May 1, 2014
May 1, 2014
Sep 26, 2025
Covered Bridge Health CampusSeymour, IN, CCN 155712 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Stonebridge Health CampusBedford, IN, CCN 155727 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Schneck Medical Center Home Health CareSeymour, IN, CCN 157155 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1940
Schneck Medical Center HospiceSeymour, IN, CCN 151529 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1940

Facilities with the same owner 47

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

View all 47

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": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1083955124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041732",
            "telephone_number": "812-238-1555",
            "fax_number": "812-238-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041732",
            "telephone_number": "812-238-1555",
            "fax_number": "812-238-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "FORGEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "812-522-0172"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275360C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Terre Haute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.