NPIMap

Organization Active NPI

Jackson County Schneck Memorial Hospital

Doing business as Signature HealthCARE at Parkwood

  • Skilled Nursing Facility
  • Lebanon, IN
National Provider Identifier
1184965550
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000 Issued in IN
Legal business name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
Signature HealthCARE at Parkwood
Practice address
1001 N Grant St
Lebanon, IN 46052-1944
Phone
(765) 482-6400
Fax
(765) 483-5325
NPI assigned
Mar 11, 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 0000 IN Primary

Addresses

Primary practice location

1001 N Grant St
Lebanon, IN 46052-1944

Mailing address

1001 N Grant St
Lebanon, IN 46052-1944
Phone (765) 482-6400

Other identifiers 1

IdentifierTypeStateIssuer
100290270CMedicaidIN

Other names 1

  • Signature HealthCARE at Parkwood Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000316 IN Part A Provider - Skilled Nursing Facility 8224004585 Practice locations: Lebanon, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184965550. Details of each certification follow.

Skilled nursing facility certification: CCN 155378

Legal name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
SIGNATURE HEALTHCARE AT PARKWOOD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 13, 1991
Last certification
Feb 17, 2025
Beds
106
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Signature Healthcare
Organization structure
OtherNon-profit
Enrollment address
1001 N Grant St
Lebanon, IN 46052-1944
Nursing home name
SIGNATURE HEALTHCARE AT PARKWOOD
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare at ParkwoodCCN 155378 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 13, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10683.0 residents per day on average
Chain
Signature Healthcare67 facilities in the chain
Penalties (3 years)
2Fines totaling $8,018

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
15D0667334D/B/a Signature Healthcare at Parkwood1001 N Grant St, Lebanon, IN 46052Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Memorial34 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 57

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 Trustee of the SNF Jul 1, 2012
Rick L Smith Individual Trustee of the SNF Jul 1, 2012
Andrew B Markel Individual Trustee of the SNF Sep 1, 2020
Manhattan Five Partners LLC Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Aug 25, 2025
Organization, Louisville, KY LLC, Holding company Adp of the SNF Aug 26, 2025
Pharmerica Holdings Inc Organization, Louisville, KY Corporation Adp of the SNF Aug 26, 2025
Courtney B Kleber Individual Trustee of the SNF Sep 1, 2020
Organization, Louisville, KY LLC, Holding company Adp of the SNF Aug 26, 2025
Barbara Revelette Individual Operational/Managerial Control Jan 17, 2022
Adp of the SNF Jan 17, 2022
Midcap Finco LLC Organization, Bethesda, MD LLC Adp of the SNF Aug 26, 2025
Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Aug 25, 2025
Deborah a Mann Individual Operational/Managerial Control Feb 10, 2014
Organization, Louisville, KY LLC, Investment firm Adp of the SNF Aug 26, 2025
Maria Doyle Individual Adp of the SNF Jul 1, 2021
Organization, Bethesda, MD Financial institution Adp of the SNF Aug 26, 2025
Healthcare Services Group Inc Organization, Bensalem, PA Corporation Adp of the SNF Jun 1, 2021
LP Lebanon Management, LLC Organization, Louisville, KY LLC, Management services company Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2013
Matthew K Reedy Individual Trustee of the SNF Jul 1, 2012
SHC Medical Partners of Indiana, LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Mar 20, 2020
Jennifer Moore Individual Operational/Managerial Control Aug 12, 2024
Adp of the SNF Aug 12, 2024
SHC Medical Partners LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Mar 20, 2020
Anthony a Andres Individual Operational/Managerial Control Oct 7, 2020
Adp of the SNF Oct 7, 2020
Organization, Tustin, CA Adp of the SNF Aug 12, 2015
LP Lebanon LLC Organization, Louisville, KY LLC Adp of the SNF Aug 22, 2025
Asbr Holdings LLC Organization, Louisville, KY LLC, Holding company Adp of the SNF Aug 22, 2025
Terrence L Gilliland Individual Trustee of the SNF Jul 1, 2012
Organization, Tustin, CA Corporation, Real estate investment trust (REIT) Adp of the SNF Aug 12, 2015
Susan D Bevers Individual Trustee of the SNF Sep 1, 2020
Eric D Fish Individual Operational/Managerial Control Sep 1, 2000
Signature Healthcare Clinical Consulting Services LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2013
SHC in Holdings LLC Organization, Louisville, KY LLC, Holding company Adp of the SNF Aug 22, 2025
Signature Healthcare Consulting Services LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2013
Organization, Louisville, KY LLC, Holding company Adp of the SNF Aug 26, 2025
Organization, Louisville, KY Corporation Adp of the SNF Aug 26, 2025
Signature Healthcare LLC Organization, Louisville, KY LLC, Holding company Adp of the SNF Aug 26, 2025
Jared B Houck Individual Operational/Managerial Control Apr 29, 2024
Adp of the SNF Apr 29, 2024
Stakeholder Payroll Services LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2013
Lpsnf LLC Organization, Los Angeles, CA LLC Adp of the SNF Aug 25, 2025
John H Harrison Individual Operational/Managerial Control May 1, 2013
Adp of the SNF May 1, 2013
Organization, Los Angeles, CA Adp of the SNF Aug 25, 2025
Forvis Mazars LLP Organization, Springfield, MO Adp of the SNF Nov 18, 2024
Organization, New York, NY Financial institution Adp of the SNF Aug 26, 2025
Organization, New York, NY Financial institution Adp of the SNF May 7, 2018
Individual Adp of the SNF May 8, 2017
Brandon J Harpe Individual Trustee of the SNF Sep 1, 2020
Jackson County Schneck Memorial Hospital Organization, Seymour, IN 5% Or Greater Direct Ownership Interest May 1, 2013 100%
Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2013
Organization, Louisville, KY Corporation, Consulting firm Adp of the SNF May 1, 2018
Jennifer Hurt Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Aug 25, 2025
Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Jan 1, 2025
Organization, Tustin, CA LLC Adp of the SNF Aug 26, 2025
Marc Storey Individual Trustee of the SNF Jan 1, 2025
Heather Moschinger Individual Operational/Managerial Control Jul 7, 2025
Adp of the SNF Jul 7, 2025
Timothy H Lehner Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jjla LLC Organization, Louisville, KY LLC Adp of the SNF Aug 25, 2025
Organization, Tustin, CA LLC Adp of the SNF Aug 12, 2015

Owners & managing parties with NPI records 3

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 of Terre HauteTerre Haute, IN, CCN 155426 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 17

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

View all 17

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": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1184965550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N GRANT ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521944",
            "telephone_number": "765-482-6400",
            "fax_number": "765-483-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GRANT ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521944",
            "telephone_number": "765-482-6400",
            "fax_number": "765-483-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "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": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290270C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE at Parkwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.