Adams County Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-000030-1 Issued in IN

Legal business name

ADAMS COUNTY MEMORIAL HOSPITAL

Doing business as

Pilgrim Manor

Practice address

222 Parkview Street
Plymouth, IN 46563-1152

Phone

(574) 936-9943

Fax

(574) 936-4310

NPI assigned

Jul 28, 2005

Last updated

Jun 10, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 4

Other names 1

• Pilgrim Manor Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093715468. Details of each certification follow.

• CCN 155073 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155073

Legal name

ADAMS COUNTY MEMORIAL HOSPITAL

Doing business as

PILGRIM MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

May 22, 1968

Last certification

Nov 27, 2024

Beds

78

Ownership / control type

County

Multi-facility organization

222 Parkview Propco LLC

Organization structure

GovernmentNon-profit

Enrollment address

222 Parkview St
Plymouth, IN 46563-1152

Nursing home name

PILGRIM MANOR

Listed as

Pilgrim ManorCCN 155073 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

May 22, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7864.7 residents per day on average

Penalties (3 years)

1Fines totaling $45,580

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Adams Co Memorial Hospi73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

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

• Adams County Memorial Hospital

  dba Breckenridge Health & Rehabilitation

  • Skilled Nursing Facility
  • Sullivan, IN
  • NPI 1013193903
  NPD tax ID
• Adams County Memorial Hospital

  dba The Cedars

  • Skilled Nursing Facility
  • Leo, IN
  • NPI 1023003118
  NPD tax ID
• Adams County Memorial Hospital

  dba Woodland Manor

  • Skilled Nursing Facility
  • Elkhart, IN
  • NPI 1023096138
  NPD tax ID
• Adams County Memorial Hospital

  dba Harrison Healthcare Center

  • Skilled Nursing Facility
  • Corydon, IN
  • NPI 1033531462
  NPD tax ID
• Adams County Memorial Hospital

  dba Lutheran Life Villages (Anthony)

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1073554200
  NPD tax ID
• Adams County Memorial Hospital

  dba Adams Memorial Hospital Pharmacy

  • Institutional Pharmacy
  • Decatur, IN
  • NPI 1073691531
  NPD tax ID
• Adams County Memorial Hospital

  dba Warsaw Meadows

  • Skilled Nursing Facility
  • Warsaw, IN
  • NPI 1114125689
  NPD tax ID
• Adams County Memorial Hospital

  dba Lutheran Life Villages

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1134493281
  NPD tax ID
• Adams County Memorial Hospital

  dba Chase Center

  • Skilled Nursing Facility
  • Logansport, IN
  • NPI 1144220500
  NPD tax ID
• Adams County Memorial Hospital

  dba Chalet Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1144253451
  NPD tax ID
• Adams County Memorial Hospital

  dba Lutheran Life Villages (Kendallville)

  • Skilled Nursing Facility
  • Kendallville, IN
  • NPI 1154362390
  NPD tax ID
• Adams County Memorial Hospital

  dba Cathedral Health Care Center

  • Skilled Nursing Facility
  • Jasper, IN
  • NPI 1235205816
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Parkview Logansport Hospital Inc

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1356320469

  Member Of

  NPD member

All disclosed owners & managing parties 19

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

Owners & managing parties with NPI records 2

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

• Byron M Holm, MD

  • Family Medicine Physician
  • Plymouth, IN
  • NPI 1538154018

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Scott E Lehman, O.D.

  • Optometrist
  • Berne, IN
  • NPI 1619977113

  Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 59

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

Facilities with the same owner 57

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

• Adams County Memorial Hospital

  dba Breckenridge Health & Rehabilitation

  • Skilled Nursing Facility
  • Sullivan, IN
  • NPI 1013193903

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba The Cedars

  • Skilled Nursing Facility
  • Leo, IN
  • NPI 1023003118

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Woodland Manor

  • Skilled Nursing Facility
  • Elkhart, IN
  • NPI 1023096138

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Harrison Healthcare Center

  • Skilled Nursing Facility
  • Corydon, IN
  • NPI 1033531462

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Lutheran Life Villages (Anthony)

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1073554200

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Warsaw Meadows

  • Skilled Nursing Facility
  • Warsaw, IN
  • NPI 1114125689

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Lutheran Life Villages

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1134493281

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Chase Center

  • Skilled Nursing Facility
  • Logansport, IN
  • NPI 1144220500

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Chalet Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1144253451

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Lutheran Life Villages (Kendallville)

  • Skilled Nursing Facility
  • Kendallville, IN
  • NPI 1154362390

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Cathedral Health Care Center

  • Skilled Nursing Facility
  • Jasper, IN
  • NPI 1235205816

  Adams County Memorial Hospital

  CMS ownership
• Adams County Memorial Hospital

  dba Envive of Huntington

  • Skilled Nursing Facility
  • Huntington, IN
  • NPI 1235315425

  Adams County Memorial Hospital

  CMS ownership

Affiliated clinicians 2

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

• Laura Elizabeth Blackford, MD

  • Family Medicine Physician
  • Plymouth, IN
  • NPI 1073892428

  Nursing home

  Care Compare affiliation
• Byron M Holm, MD

  • Family Medicine Physician
  • Plymouth, IN
  • NPI 1538154018

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1093715468",
    "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": "574-722-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PARKVIEW STREET",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631152",
            "telephone_number": "574-936-9943",
            "fax_number": "574-936-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "05-000030-1",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-000030-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000097805",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTERNATE MEDICAID #",
            "identifier": "100275260",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275260A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "100275260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pilgrim Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.