Active NPI
Johnson Memorial Hospital
- Skilled Nursing Facility
- Wabash, IN
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Corporate family (same tax ID)36
- Facilities with the same owner34
- Affiliated clinicians1
- Care Compare: Nursing home
- Medicare participation
- Skilled nursing facility certification: CCN 155006
- All disclosed owners & managing parties8
- All facility ownership & control disclosures34
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses3
- Addresses
- Other identifiers1
- Other names1
- NPI Registry JSON
- Other providers in Wabash, IN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 05-000006-1
- Legal business name
- JOHNSON MEMORIAL HOSPITAL
- Practice address
- 1900 Alber St
Wabash, IN 46992-1018 - Phone
- (260) 563-7427
- Fax
- (260) 563-9088
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- David Dunkle, CPA
- Title
- President/Ceo
- Phone
- (317) 736-3396
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Franklin, IN
- NPI 1053468041
Corporate Director, Corporate Officer, Operational/Managerial Control
Corporate family (same tax ID) 36
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Sullivan, IN
- NPI 1003838194
-
- Skilled Nursing Facility
- Syracuse, IN
- NPI 1023031465
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1033132477
-
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053301259
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1114940558
-
- Skilled Nursing Facility
- Warsaw, IN
- NPI 1114947686
-
- Skilled Nursing Facility
- Rushville, IN
- NPI 1134142573
-
- Skilled Nursing Facility
- Wabash, IN
- NPI 1144236415
-
- Skilled Nursing Facility
- Columbia City, IN
- NPI 1144627977
-
- Skilled Nursing Facility
- Hope, IN
- NPI 1194747287
-
- Skilled Nursing Facility
- Marion, IN
- NPI 1215111067
-
- Skilled Nursing Facility
- Lagrange, IN
- NPI 1255352399
-
- Skilled Nursing Facility
- Middletown, IN
- NPI 1306869748
-
- Skilled Nursing Facility
- Dunkirk, IN
- NPI 1427071869
-
- Skilled Nursing Facility
- Peru, IN
- NPI 1427079565
-
- Skilled Nursing Facility
- Hobart, IN
- NPI 1437172871
-
- Skilled Nursing Facility
- Hartford City, IN
- NPI 1508889940
-
- Skilled Nursing Facility
- Rockport, IN
- NPI 1629091061
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1639192065
-
- Skilled Nursing Facility
- Portage, IN
- NPI 1669495008
-
- Community/Retail Pharmacy
- Franklin, IN
- NPI 1699480087
-
- General Acute Care Hospital
- Franklin, IN
- NPI 1750381596
-
- Skilled Nursing Facility
- Culver, IN
- NPI 1770504813
-
- Skilled Nursing Facility
- Walkerton, IN
- NPI 1780605824
-
- Skilled Nursing Facility
- Greenwood, IN
- NPI 1790776128
Facilities with the same owner 34
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Sullivan, IN
- NPI 1003838194
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Syracuse, IN
- NPI 1023031465
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1033132477
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053301259
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1114940558
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Warsaw, IN
- NPI 1114947686
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Rushville, IN
- NPI 1134142573
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Wabash, IN
- NPI 1144236415
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Columbia City, IN
- NPI 1144627977
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Hope, IN
- NPI 1194747287
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Marion, IN
- NPI 1215111067
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Lagrange, IN
- NPI 1255352399
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Middletown, IN
- NPI 1306869748
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Dunkirk, IN
- NPI 1427071869
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Peru, IN
- NPI 1427079565
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Hobart, IN
- NPI 1437172871
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Hartford City, IN
- NPI 1508889940
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Rockport, IN
- NPI 1629091061
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1639192065
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Portage, IN
- NPI 1669495008
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Mooresville, IN
- NPI 1760403802
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Culver, IN
- NPI 1770504813
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Walkerton, IN
- NPI 1780605824
Johnson Memorial Hospital, Miller'S Health Systems Inc
-
- Skilled Nursing Facility
- Greenwood, IN
- NPI 1790776128
Johnson Memorial Hospital
-
- Skilled Nursing Facility
- Plymouth, IN
- NPI 1801817945
Johnson Memorial Hospital, Miller'S Health Systems Inc
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Waters of Wabash Skilled Nursing Facility East the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1974
- Medicare certification status
- Active
- Certified beds
- 84
- Chain
- Infinity Healthcare Consulting
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155006
Medicare enrollment files- Legal name
- JOHNSON MEMORIAL HOSPITAL
- Doing business as
- THE WATERS OF WABASH SKILLED NURSING FACILITY EAST
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1974
- Last certification
- May 22, 2025
- Beds
- 84
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Jan 1, 2015
- Organization structure
- Government
- Enrollment address
- 1900 Alber St
Wabash, IN 46992-1018 - Nursing home name
- WATERS OF WABASH SKILLED NURSING FACILITY EAST THE
- Affiliated entity
- INFINITY HEALTHCARE CONSULTING
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| David H Dunkle | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | ||
| Operational/Managerial Control | Mar 1, 2019 | ||
| Miller'S Health Systems Inc | Operational/Managerial Control | Jan 1, 2015 | |
| Steven Berkhouse | Corporate Officer | Oct 18, 2021 | |
| Corporate Director | Oct 18, 2021 | ||
| Johnson Memorial Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 2015 | 100% |
| Robert J Decola | W-2 Managing Employee | Feb 16, 2019 | |
| Patrick H Boyle | Other | May 30, 2017 | |
| The Waters of Wabash Skilled Nursing Facility East LLC | Operational/Managerial Control | Nov 1, 2022 | 100% |
| Michael Wolfe | Contracted Managing Employee | Jan 1, 2020 |
All facility ownership & control disclosures 34
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Millers Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jul 1, 2012 Jun 1, 2013 Jun 1, 2013 |
| Millers Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jun 1, 2013 Jun 1, 2013 Jun 1, 2013 |
| Millers Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| The Waters of Lagrange Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Dunkirk Skilled Nursing Facilty | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Sullivan Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Rushville Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Syracuse Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Tipton Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Peru Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Rockport Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Chesterfield Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Fort Wayne Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Wakarusa Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Hartford City Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Columbia City Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Castleton Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Middletown Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Huntington Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| The Waters of Hobart Skilled Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| Miller'S Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jun 1, 2013 Jun 1, 2013 Jun 1, 2013 |
| Miller'S Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2013 |
| Miller'S Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jun 1, 2013 Jun 1, 2013 Jun 1, 2013 |
| Millers Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jun 1, 2013 Jun 1, 2013 Jun 1, 2023 |
| Miller'S Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2013 |
| Miller'S Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2013 |
| Miller'S Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2013 |
| Millers at Oak Pointe | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| The Waters of Wabash Skilled Nursing Facility West | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2015 |
| Millers Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Oct 1, 2015 Jun 1, 2013 Jun 1, 2013 |
| Millers Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jun 1, 2013 Jun 1, 2013 Jun 1, 2013 |
| Greenwood Village South | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Nov 1, 2016 Nov 1, 2016 Jul 9, 2025 |
| Miller'S Health & Rehab by Miller'S Merry Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jun 1, 2013 Jun 1, 2013 Jun 1, 2013 |
| Compass Park | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2023 Jan 1, 2023 Jan 1, 2023 |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150205001462 | IN | Part a Provider - Skilled Nursing Facility | 8527972595 | Practice locations: Wabash, IN |
National Provider Directory
National Provider Directory- Tax ID family
- Emergency Medical Group
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 05-000006-1 | IN | Primary |
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | IN |
Addresses
NPPES NPI RegistryPrimary practice location
1900 Alber St
Wabash, IN 46992-1018
Mailing address
1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3396
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100290220A | Medicaid | IN |
Other names 1
NPPES NPI Registry- The Waters of Wabash Skilled Nursing Facility East
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2023.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1235150376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 W JEFFERSON ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312140",
"telephone_number": "317-736-3396",
"fax_number": "317-736-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ALBER ST",
"city": "WABASH",
"state": "IN",
"postal_code": "469921018",
"telephone_number": "260-563-7427",
"fax_number": "260-563-9088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "DUNKLE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "317-736-3396",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "05-000006-1",
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "IN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100290220A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Waters of Wabash Skilled Nursing Facility East",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wabash, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.