Organization Active NPI

Hendricks County Hospital

  • Nursing Facility/Intermediate Care Facility
  • Fort Wayne, IN
National Provider Identifier
1194940205
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
000255 Issued in IN
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

Updated by the provider on Apr 26, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100273280MedicaidIN

Other names 1

  • Byron Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherNon-profit
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 CenterCCN 155364
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Aug 2, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.3 residents per day on average
Penalties (3 years)
1Fines totaling $8,281

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
15D0358424Byron Health Center1661 Beacon Street, Fort Wayne, IN 46805Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hendricks Community Hosp110 organizations share this tax ID, including this one

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.

View all 24

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.

NameRoleSinceShare
Charles Clark Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Debra Lambert Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Recovery Health Services, Inc Organization, Fort Wayne, IN Corporation, Management services company Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Timothy a Whicker Individual Managing Control - Governing BodyBoard Member Jan 12, 2022
Trustee of the SNF Jan 12, 2022
Deanna M Fenoughty Individual Operational/Managerial Control Jul 10, 2023
Managing Control - Governing BodyPresident and Ceo Jul 10, 2023
Erin M Engels Individual Managing Control - Governing BodyBoard Member Oct 12, 2012
Trustee of the SNF Oct 12, 2012
John Waite Individual Managing Control - Governing BodyBoard Member Aug 1, 2020
Trustee of the SNF Aug 1, 2020
Sarah Starcher Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Hendricks County Hospital Organization, Danville, IN Direct Ownership Interest Aug 1, 2020 100%
Therese Brown Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Mark Edward Gentry Individual Managing Control - Governing BodyBoard Member Jan 12, 2022
Trustee of the SNF Jan 12, 2022
Dodd Kattman Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Tyler Starkey Individual Managing Control - Governing BodyBoard Member Aug 1, 2020
Trustee of the SNF Aug 1, 2020
John Eakin Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Audra Guy Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Lionel R Brounts Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Kristina Martin Individual 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.

All facility ownership & control disclosures 46

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

FacilityTypeRoleSince
Hendricks Regional HealthDanville, IN, CCN 150005 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Laporte Care CenterLa Porte, IN, CCN 155062 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Churchman Care CenterIndianapolis, IN, CCN 155138 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Bloomington Care CenterBloomington, IN, CCN 155278 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brookview Care CenterIndianapolis, IN, CCN 155076 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Sycamore Village Care CenterKokomo, IN, CCN 155367 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Valparaiso Care CenterValparaiso, IN, CCN 155137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Twelfth Street Care CenterMishawaka, IN, CCN 155109 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Merrillville Care CenterMerrillville, IN, CCN 155362 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodbridge Care CenterEvansville, IN, CCN 155390 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Portage Care CenterPortage, IN, CCN 155187 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Lincoln Hills Care CenterTell City, IN, CCN 155384 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Golden Rule Care CenterRichmond, IN, CCN 155264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Elkhart Care CenterElkhart, IN, CCN 155685 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brandywine Care CenterGreenfield, IN, CCN 155120 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brentwood Care CenterEvansville, IN, CCN 155248 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Terrace Care CenterLa Porte, IN, CCN 155136 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Knox Care CenterKnox, IN, CCN 155686 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodlands Care CenterNewburgh, IN, CCN 155252 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Hamilton Trace of FishersFishers, IN, CCN 155793 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2013
Brickyard Healthcare - Fountainview Care CenterMishawaka, IN, CCN 155178 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Muncie Care CenterMuncie, IN, CCN 155687 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brownsburg Health Care CenterBrownsburg, IN, CCN 155206 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Castleton Health Care CenterIndianapolis, IN, CCN 155245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Brickyard Healthcare - Petersburg Care CenterPetersburg, IN, CCN 155375 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Richmond Care CenterRichmond, IN, CCN 155157 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Willow Springs Care CenterIndianapolis, IN, CCN 155834 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 10, 2015
The Waters of LebanonLebanon, IN, CCN 155211 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 15, 2017
Westside Retirement VillageIndianapolis, IN, CCN 155606 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2018
Feb 24, 2025
Mitchell ManorMitchell, IN, CCN 155324 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 WayneFort Wayne, IN, CCN 155266 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2018
Feb 26, 2025
Heritage HealthcareWest Lafayette, IN, CCN 155402 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 WillowsValparaiso, IN, CCN 155158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 24, 2025
Hammond-Whiting Care CenterWhiting, IN, CCN 155423 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 27, 2025
Parkview Care CenterEvansville, IN, CCN 155348 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 CityMichigan City, IN, CCN 155344 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 25, 2025
Life Care Center of LagrangeLagrange, IN, CCN 155343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 27, 2025
The Lane HouseCrawfordsville, IN, CCN 155477 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Sep 1, 2012
Feb 20, 2025
The WoodlandsMuncie, IN, CCN 155229 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2018
Feb 26, 2025
Life Care Center of ValparaisoValparaiso, IN, CCN 155331 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2018
Feb 21, 2025
Green Valley Care CenterNew Albany, IN, CCN 155070 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2018
Feb 28, 2025
Life Care Center of RochesterRochester, IN, CCN 155379 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2018
Feb 27, 2025
Rensselaer Care CenterRensselaer, IN, CCN 155287 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Nov 1, 2018
Feb 27, 2025
Hickory Creek at SunsetGreencastle, IN, CCN 155565 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2022
May 7, 2025
Suburban Home Health, LLCNoblesville, IN, CCN 157092 Home health agency 5% Or Greater Indirect Ownership Interest (12.82%) Sep 3, 2024
Suburban HospiceNoblesville, IN, CCN 151547 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

Verify at the official NPI Registry.