Active NPI
Hendricks County Hospital
- Skilled Nursing Facility
- Evansville, IN
On this page
- Key facts
- Owners & managing parties with NPI records2
- Facilities with the same owner45
- Affiliated clinicians1
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- All disclosed owners & managing parties9
- All facility ownership & control disclosures46
- National Provider Directory
- NPPES NPI Registry
- Other providers in Evansville, IN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 06-000438-1
- Legal business name
- HENDRICKS COUNTY HOSPITAL
- Practice address
- 816 N 1St Ave
Evansville, IN 47710-1938 - Phone
- (812) 426-2841
- Fax
- (812) 424-3369
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Obstetrics & Gynecology Physician
- Avon, IN
- NPI 1245218908
Corporate Officer
Facilities with the same owner 45
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1033166871
Hendricks County Hospital
-
- Skilled Nursing Facility
- Fishers, IN
- NPI 1033416243
Hendricks County Hospital
-
- Skilled Nursing Facility
- Valparaiso, IN
- NPI 1053599688
Hendricks County Hospital
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1063409498
Hendricks County Hospital
-
- Skilled Nursing Facility
- Greenfield, IN
- NPI 1063468676
Hendricks County Hospital
-
- Skilled Nursing Facility
- New Albany, IN
- NPI 1063469930
Hendricks County Hospital
-
- Skilled Nursing Facility
- Muncie, IN
- NPI 1063682896
Hendricks County Hospital
-
- Skilled Nursing Facility
- Evansville, IN
- NPI 1093762155
Hendricks County Hospital
-
- Skilled Nursing Facility
- La Porte, IN
- NPI 1093985814
Hendricks County Hospital
-
- Skilled Nursing Facility
- Richmond, IN
- NPI 1124070339
Hendricks County Hospital
-
- Skilled Nursing Facility
- Valparaiso, IN
- NPI 1194772087
Hendricks County Hospital
-
- Skilled Nursing Facility
- Evansville, IN
- NPI 1215989496
Hendricks County Hospital
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Brickyard Healthcare - Woodbridge Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1991
- Medicare certification status
- Active
- Certified beds
- 67
- Chain
- Brickyard Healthcare
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 |
|---|---|---|---|
| 15D0686775 | Brickyard Healthcare - Woodbridge Care Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130503000494 | IN | Part A Provider - Skilled Nursing Facility | 4880505528 | Practice locations: Evansville, IN |
Skilled nursing facility certification: CCN 155390
- Legal name
- HENDRICKS COUNTY HOSPITAL
- Doing business as
- BRICKYARD HEALTHCARE - WOODBRIDGE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1991
- Last certification
- Jul 15, 2024
- Beds
- 67
- Ownership / control type
- Corporation
- Multi-facility organization
- Brickyard Healthcare
- Organization structure
- Other
- Enrollment address
- 816 N 1St Ave
Evansville, IN 47710-1938 - Nursing home name
- BRICKYARD HEALTHCARE - WOODBRIDGE CARE CENTER
- Affiliated entity
- BRICKYARD HEALTHCARE
All disclosed owners & managing parties 9
Medicare enrollment filesAs 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 |
|---|---|---|---|
| Michael Meadows | Contracted Managing Employee | Apr 13, 2022 | |
| Ggnsc Evansville Woodbridge LLC | Operational/Managerial Control | Sep 1, 2012 | |
| Timothy a Whicker | Corporate Director | Jan 12, 2022 | |
| Deanna M Fenoughty | Corporate Officer | Jul 10, 2023 | |
| Erin M Engels | Corporate Officer | Oct 25, 2014 | |
| John Waite | Corporate Officer | Aug 1, 2020 | |
| Hendricks County Hospital | 5% Or Greater Direct Ownership Interest | Sep 1, 2012 | 100% |
| Mark Edward Gentry | Corporate Director | Jan 12, 2022 | |
| Tyler Starkey | Corporate Officer | Aug 1, 2020 |
All facility ownership & control disclosures 46
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hendricks Regional Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Laporte Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Churchman Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Bloomington Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brookview Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Sycamore Village Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Valparaiso Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Twelfth Street Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Merrillville Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Portage Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Lincoln Hills Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Golden Rule Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Elkhart Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brandywine Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brentwood Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Terrace Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Knox Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Woodlands Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Hamilton Trace of Fishers | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2013 |
| Brickyard Healthcare - Fountainview Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Muncie Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brownsburg Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2013 |
| Castleton Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2013 |
| Brickyard Healthcare - Petersburg Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2014 |
| Brickyard Healthcare - Richmond Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2014 |
| Brickyard Healthcare - Willow Springs Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 10, 2015 |
| The Waters of Lebanon | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 15, 2017 |
| Westside Retirement Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2018 Feb 24, 2025 |
| Mitchell Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2018 Feb 25, 2025 |
| Life Care Center of Ft Wayne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2018 Feb 26, 2025 |
| Heritage Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Sep 1, 2018 Feb 26, 2025 |
| Life Care Center of the Willows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 24, 2025 |
| Hammond-Whiting Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 27, 2025 |
| Parkview Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 24, 2025 |
| Life Care Center of Michigan City | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 25, 2025 |
| Life Care Center of Lagrange | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 27, 2025 |
| The Lane House | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Sep 1, 2012 Feb 20, 2025 |
| The Woodlands | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 26, 2025 |
| Life Care Center of Valparaiso | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 21, 2025 |
| Green Valley Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 28, 2025 |
| Life Care Center of Rochester | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 27, 2025 |
| Rensselaer Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2018 Feb 27, 2025 |
| Byron Health Center | Skilled nursing facility | Direct Ownership Interest (100%) | Aug 1, 2020 |
| Hickory Creek at Sunset | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2022 May 7, 2025 |
| Suburban Home Health, LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (12.82%) | Sep 3, 2024 |
| Suburban Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (12.82%) | Nov 1, 2024 |
National Provider Directory
National Provider Directory- Tax ID family
- Hendricks Community Hosp
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Corporate Health Clinic/Center
- Plainfield, IN
- NPI 1114405156
-
- Skilled Nursing Facility
- Greenfield, IN
- NPI 1063468676
-
- Skilled Nursing Facility
- New Albany, IN
- NPI 1063469930
-
- Skilled Nursing Facility
- Muncie, IN
- NPI 1063682896
-
- Skilled Nursing Facility
- Evansville, IN
- NPI 1093762155
-
- Skilled Nursing Facility
- La Porte, IN
- NPI 1093985814
-
- Corporate Health Clinic/Center
- Danville, IN
- NPI 1104195098
-
- Family Medicine Physician
- Brownsburg, IN
- NPI 1104600048
-
- Family Medicine Physician
- Plainfield, IN
- NPI 1104927557
-
- Skilled Nursing Facility
- Richmond, IN
- NPI 1124070339
-
- Otolaryngology Physician
- Danville, IN
- NPI 1124529888
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Danville, IN
- NPI 1124867783
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin P Speer
- Title
- President/Ceo
- Phone
- (317) 745-4451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 06-000438-1 | IN | Primary |
Addresses
Primary practice location
816 N 1St Ave
Evansville, IN 47710-1938
Mailing address
816 N 1St Ave
Evansville, IN 47710-1938
Phone (812) 426-2841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002 74170-B | Medicaid | IN |
Other names 1
- Brickyard Healthcare - Woodbridge Care Center
NPI Registry JSON
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655251200000",
"number": "1124070347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 N 1ST AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101938",
"telephone_number": "812-426-2841",
"fax_number": "812-424-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 N 1ST AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101938",
"telephone_number": "812-426-2841",
"fax_number": "812-424-3369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICKS COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A",
"authorized_official_last_name": "SPEER",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "317-745-4451"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "06-000438-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002 74170-B",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brickyard Healthcare - Woodbridge Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.