Active NPI
Hendricks County Hospital
- Nursing Facility/Intermediate Care Facility
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 000255
- Legal business name
- HENDRICKS COUNTY HOSPITAL
- Practice address
- 1661 Beacon St.
Fort Wayne, IN 46805-9563 - Phone
- (260) 637-3166
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 000255 | IN | Primary |
| Skilled Nursing Facility | 314000000X | 000255 | IN |
Addresses
Primary practice location
1661 Beacon St.
Fort Wayne, IN 46805-9563
Mailing address
1661 Beacon St.
Fort Wayne, IN 46805-9563
Phone (260) 637-3166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100273280 | Medicaid | IN |
Other names 1
- Byron Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210222002174 | IN | Part A Provider - Skilled Nursing Facility | 4880505528 | Practice locations: Fort Wayne, IN |
Skilled nursing facility certification: CCN 155364
- Legal name
- HENDRICKS COUNTY HOSPITAL
- Doing business as
- BYRON HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 2, 1990
- Last certification
- May 19, 2025
- Beds
- 170 (120 certified)
- Ownership / control type
- Other Nonprofit
- Organization structure
- Other
- Enrollment address
- 1661 Beacon St
Fort Wayne, IN 46805-4746 - Nursing home name
- BYRON HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Byron Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Aug 2, 1990
- Medicare certification status
- Active
- Certified beds
- 120
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 15D0358424 | Byron Health Center | Certificate of waiver | Aug 31, 2026 |
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
- Avon, IN
- NPI 1306115282
-
- Corporate Health Clinic/Center
- Plainfield, IN
- NPI 1114405156
-
- 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
-
- Skilled Nursing Facility
- Evansville, IN
- NPI 1124070347
-
- Otolaryngology Physician
- Danville, IN
- NPI 1124529888
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Danville, IN
- NPI 1124867783
-
- Internal Medicine Physician
- Brownsburg, IN
- NPI 1134057250
-
- Obstetrics & Gynecology Physician
- Avon, IN
- NPI 1174452684
-
- Internal Medicine Physician
- Danville, IN
- NPI 1174620488
Locations
1661 Beacon St
Fort Wayne, IN 46805
Phone (260) 637-3166
Ownership & related parties
All disclosed owners & managing parties 17
As 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 |
|---|---|---|---|
| Charles Clark | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Debra Lambert | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Recovery Health Services, Inc | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Timothy a Whicker | Managing Control - Governing Body | Jan 12, 2022 | |
| Trustee of the SNF | Jan 12, 2022 | ||
| Deanna M Fenoughty | Operational/Managerial Control | Jul 10, 2023 | |
| Managing Control - Governing Body | Jul 10, 2023 | ||
| Erin M Engels | Managing Control - Governing Body | Oct 12, 2012 | |
| Trustee of the SNF | Oct 12, 2012 | ||
| John Waite | Managing Control - Governing Body | Aug 1, 2020 | |
| Trustee of the SNF | Aug 1, 2020 | ||
| Sarah Starcher | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Hendricks County Hospital | Direct Ownership Interest | Aug 1, 2020 | 100% |
| Therese Brown | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Mark Edward Gentry | Managing Control - Governing Body | Jan 12, 2022 | |
| Trustee of the SNF | Jan 12, 2022 | ||
| Dodd Kattman | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Tyler Starkey | Managing Control - Governing Body | Aug 1, 2020 | |
| Trustee of the SNF | Aug 1, 2020 | ||
| John Eakin | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Audra Guy | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Lionel R Brounts | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 | ||
| Kristina Martin | Operational/Managerial Control | Aug 1, 2020 | |
| Adp of the SNF | Aug 1, 2020 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Surgery Physician
- Fort Wayne, IN
- NPI 1689843419
Adp of the SNF, Operational/Managerial Control
-
- Obstetrics & Gynecology Physician
- Avon, IN
- NPI 1245218908
Managing Control - Governing Body, Operational/Managerial Control
-
- Obstetrics & Gynecology Physician
- Danville, IN
- NPI 1144260191
Managing Control - Governing Body, Trustee of the SNF
All facility ownership & control disclosures 46
Facilities 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 - Woodbridge 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 |
| 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 |
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": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619395200000",
"number": "1194940205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 BEACON ST.",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468059563",
"telephone_number": "260-637-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 BEACON ST.",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468059563",
"telephone_number": "260-637-3166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICKS COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"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": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IN",
"license": "000255",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "000255",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100273280",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Byron Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Byron Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.