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Henry County Memorial Hospital

Organization Active NPI Skilled Nursing Facility · Madison, IN

NPI 1104855980 · NPPES record last updated Aug 16, 2022

Key facts

NPI
1104855980
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
05-000348-2 (IN)
Legal business name
HENRY COUNTY MEMORIAL HOSPITAL
Practice address
1945 Cragmont St
Madison, IN 47250-2257
Phone
(812) 273-4696
Fax
(812) 273-6263
NPI assigned
Jul 2, 2006
Organization subpart
No

Authorized official

Name
Mr. Brian Ring
Title
President/Ceo
Phone
(765) 521-1515

Owners & managing parties with NPI records 1

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

  • Dawn M Meacham, D.O. Family Medicine Physician · Madison, IN · NPI 1912276866
    CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Corporate family (same tax ID) 46

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

View all 46

Facilities with the same owner 116

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

View all 116

Affiliated clinicians 1

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

Medicare Care Compare: Nursing home

Listed as
Hickory Creek at Madison CCN 155427
Overall star rating
★★★★☆ 4 of 5
Health inspections
★★★★☆ 4 of 5
Staffing
★☆☆☆☆ 1 of 5
Quality measures
★★★★★ 5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1992
Medicare certification status
Active (Provider of Services file)
Certified beds
36 · 34.5 residents per day on average
Chain
American Senior Communities (90 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0668790Dba Hickory Creek at Madison Henry Co Mem Hospital
1945 Cragmont St, Madison, IN 47250		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Skilled nursing facility certification: CCN 155427

Legal name
HENRY COUNTY MEMORIAL HOSPITAL
Doing business as
HICKORY CREEK AT MADISON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1992
Last certification
Oct 25, 2024
Beds
36
Ownership / control type
Corporation
Multi-facility organization
Henry County Memorial Hospital
Organization structure
Government · Non-profit
Enrollment address
1945 Cragmont St
Madison, IN 47250-2257
Nursing home name
HICKORY CREEK AT MADISON
Affiliated entity
AMERICAN SENIOR COMMUNITIES

All disclosed owners & managing parties 27

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

NameRoleSinceShare
John D Pidgeon
Individual 		Managing Control - Governing Body
Board Member		 Jan 1, 2013
Trustee of the SNF Jan 1, 2013

Organization · Indianapolis, IN
LLC 		Adp of the SNF Mar 1, 2021
Mark Jackson
Individual 		Managing Control - Governing Body
Manager		 Mar 1, 2021

Organization · Indianapolis, IN
Holding company 		Adp of the SNF Mar 1, 2021
Michael L Jackson
Individual 		Managing Control - Governing Body
Manager		 May 14, 2024
Marion E Shore
Individual 		Managing Control - Governing Body
Board Member		 Jan 1, 2013
Trustee of the SNF Jan 1, 2013
Brian Ring
Individual 		Corporate Officer
President and Ceo		 Aug 1, 2022
Operational/Managerial Control Aug 1, 2022
Blake Jackson
Individual 		Managing Control - Governing Body
Manager		 Mar 1, 2021
Donna Kelsey
Individual 		Managing Control - Governing Body
Manager		 Jul 18, 2024
Wessley Jackson
Individual 		Managing Control - Governing Body
Manager		 Mar 1, 2021
Steven Van Camp
Individual 		Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Katelan Cox
Individual 		Operational/Managerial Control May 18, 2026
Adp of the SNF May 28, 2026

Organization · Indianapolis, IN
Holding company 		Adp of the SNF Mar 1, 2021
Mark Dice
Individual 		Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Ethan I Jackson
Individual 		Managing Control - Governing Body
Manager		 Mar 1, 2021
Stephen Stitle
Individual 		Managing Control - Governing Body
Manager		 Mar 1, 2021
Henry County Memorial Hospital
Organization · New Castle, IN 		5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Adp of the SNF Apr 27, 2025
Theressa Wright
Individual 		Managing Control - Governing Body
Manager		 May 21, 2021
Deborah Ware
Individual 		Managing Control - Governing Body
Board Member		 Aug 27, 2021
Trustee of the SNF Aug 27, 2021
Steven Chies
Individual 		Managing Control - Governing Body
Manager		 Mar 1, 2021
Andrew Shane
Individual 		Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Angela Schmidlapp
Individual 		Operational/Managerial Control Mar 7, 2022

Organization · Indianapolis, IN
Holding company 		Adp of the SNF Mar 1, 2021
American Senior Communities LLC
Organization · Indianapolis, IN
LLC, Management services company 		Operational/Managerial Control Mar 1, 2021 100%
Adp of the SNF Mar 24, 2025
David Justice
Individual 		Managing Control - Governing Body
Manager		 Mar 1, 2021
Dawn M Meacham
Individual 		Operational/Managerial Control Oct 1, 2021
Adp of the SNF Mar 24, 2025
Sheldon L Dynes
Individual 		Managing Control - Governing Body
Board Member		 Jan 1, 2013
Trustee of the SNF Jan 1, 2013

All facility ownership & control disclosures 39

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

FacilityTypeRoleSince
Ascension St Vincent Heart Center
Carmel, IN · CCN 150153		 Hospital Other (1%) Jul 1, 2017
Willows of Richmond
Richmond, IN · CCN 155228		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Willows of New Castle
New Castle, IN · CCN 155089		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Mulberry Health & Rehabilitation Center
Mulberry, IN · CCN 155600		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013
Hickory Creek at Crawfordsville
Crawfordsville, IN · CCN 155419		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Hickory Creek at Franklin
Franklin, IN · CCN 155442		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 27, 2025
Hickory Creek at Peru
Peru, IN · CCN 155406		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 27, 2025
Hickory Creek at Scottsburg
Scottsburg, IN · CCN 155417		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 29, 2025
Hickory Creek at New Castle
New Castle, IN · CCN 155459		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
The Waters of Muncie
Muncie, IN · CCN 155443		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2013
Hickory Creek at Greensburg
Greensburg, IN · CCN 155353		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Hickory Creek at Columbus
Columbus, IN · CCN 155424		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Hickory Creek at Connersville
Connersville, IN · CCN 155434		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Hickory Creek at Huntington
Huntington, IN · CCN 155543		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Bethel Manor
Evansville, IN · CCN 155607		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Clinton House Rehabilitation and Healthcare Center
Frankfort, IN · CCN 155295		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 1, 2014
Jun 3, 2025
Alpha Home-a Waters Community
Indianapolis, IN · CCN 155717		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
Lakeland Rehab and Healthcare Center
Angola, IN · CCN 155596		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
University Park Rehabilitation and Healthcare Center
Fort Wayne, IN · CCN 155567		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
Aspen Place Health Campus
Greensburg, IN · CCN 155797		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Silver Oaks Health Campus
Columbus, IN · CCN 155693		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Glen Oaks Health Campus
New Castle, IN · CCN 155759		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Forest Park Health Campus
Richmond, IN · CCN 155762		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
The Springs of Richmond
Richmond, IN · CCN 155843		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2019
The Waters of New Castle
New Castle, IN · CCN 155304		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Markle Health & Rehabilitation
Markle, IN · CCN 155673		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Feb 1, 2022
May 7, 2025
Heritage House Rehabilitation & Health Care Center
Connersville, IN · CCN 155332		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2022
Apr 27, 2025
Stonebrooke Rehabilitation Center
New Castle, IN · CCN 155160		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2023
May 7, 2025
Bethany Village
Indianapolis, IN · CCN 155237		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2023
Apr 28, 2025
Good Samaritan Home & Rehab Center
Oakland City, IN · CCN 155561		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jun 1, 2023
Apr 29, 2025
Evansville Protestant Home
Evansville, IN · CCN 155768		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Fairway Village
Indianapolis, IN · CCN 155741		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024
HCMH Home Care
New Castle, IN · CCN 157430		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
Henry County Memorial Hospital Hospice
New Castle, IN · CCN 151564		 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
New Castle Pediatrics
New Castle, IN · CCN 153863		 Rural health clinic 5% Or Greater Direct Ownership Interest Aug 2, 2003
New Castle Family and Internal Medicine
New Castle, IN · CCN 158520		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2011
New Castle Family & Internal Medicine at Northfield Park
New Castle, IN · CCN 158525		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 28, 2017
Cambridge City Family Health Partners
Cambridge City, IN · CCN 158556		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 17, 2020
Middletown Family Health Partners
Middletown, IN · CCN 158589		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 4, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131009000658 IN Part a Provider - Skilled Nursing Facility 6002724085 Practice locations: Madison, IN

National Provider Directory

Tax ID family
Henry Co Mem Hosp (47 organizations share this tax ID)

Locations

390 Boulevard
Peru, IN 46970
Phone (765) 473-4900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05-000348-2 IN Yes

Addresses

Primary practice location

1945 Cragmont St
Madison, IN 47250-2257

Mailing address

1945 Cragmont St
Madison, IN 47250-2257
Phone (812) 273-4696

Other identifiers

IdentifierTypeStateIssuer
100288390MedicaidIN

Other names

  • Hickory Creek at Madison Doing business as

Other providers in Madison, IN

All providers in Madison, IN · Skilled Nursing Facility in Indiana

Sources for this page

Verify at the official NPI Registry.