Decatur County Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

15-0047321-1 Issued in IN

Legal business name

DECATUR COUNTY MEMORIAL HOSPITAL

Practice address

18325 Bailey Ave
South Bend, IN 46637

Phone

(574) 272-2602

Fax

(574) 272-2608

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda Simmons

Title

Owner

Phone

(812) 663-1170

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Morningside Nursing and Memory Care Center Doing business as

Member of 1

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

• Decatur County Memorial Hospital

  • Skilled Nursing Facility
  • Greensburg, IN
  • NPI 1295720365

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael James McLaughlin

  • Occupational Therapist
  • Dowagiac, MI
  • NPI 1457092660
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1164599304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 GROSS POINT RD",
            "address_2": "SUITE 308",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771859",
            "telephone_number": "847-679-6200",
            "fax_number": "847-679-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 BAILEY AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46637",
            "telephone_number": "574-272-2602",
            "fax_number": "574-272-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-663-1170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IN",
            "license": "14003759",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IN",
            "license": "11-004732-1",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "15-0047321-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200808300A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside Nursing and Memory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Daymont
• Laura Anne Deak, NP
• Kelly Lynn Deakins, MS, CCC-SLP
• Arkaduisz M Debicki, PT
• Katie A Debicki, SLP
• Amy Hertzler Deel, NP
• Anastasia Deferbrache, RBT
• Kenna Defina, LMHC LCPC NCC
• Rachele A Defrancesco, MA
• Kara Degard

• Skilled Nursing Facility in South Bend, IN
• Providers in South Bend, 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 May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.