Organization Active NPI

Johnson Memorial Hospital

  • Skilled Nursing Facility
  • Wabash, IN
National Provider Identifier
1235150376
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05-000006-1 Issued in IN
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.

Corporate family (same tax ID) 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Facilities with the same owner 34

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

View all 34

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 theCCN 155006
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1974
Medicare certification status
Active (Provider of Services file)
Certified beds
8445.6 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
GovernmentNon-profit
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 files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David H Dunkle Individual Corporate OfficerCeo/President MD Mar 1, 2019
Corporate DirectorCeo/President MD Mar 1, 2019
Operational/Managerial ControlCeo/President, MD Mar 1, 2019
Miller'S Health Systems Inc Organization, Warsaw, IN Corporation Operational/Managerial Control Jan 1, 2015
Steven Berkhouse Individual Corporate OfficerCfo Oct 18, 2021
Corporate DirectorCfo Oct 18, 2021
Johnson Memorial Hospital Organization, Franklin, IN Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Robert J Decola Individual W-2 Managing EmployeeCoo Feb 16, 2019
Patrick H Boyle Individual Other May 30, 2017
The Waters of Wabash Skilled Nursing Facility East LLC Organization, Wabash, IN LLC, Management services company Operational/Managerial Control Nov 1, 2022 100%
Michael Wolfe Individual Contracted Managing EmployeeAdministrator Jan 1, 2020

All facility ownership & control disclosures 34

Medicare enrollment files

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

FacilityTypeRoleSince
Millers Merry ManorIndianapolis, IN, CCN 155557 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 ManorLogansport, IN, CCN 155235 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 ManorPlymouth, IN, CCN 155102 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 FacilityLagrange, IN, CCN 155118 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Dunkirk Skilled Nursing FaciltyDunkirk, IN, CCN 155571 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Sullivan Nursing FacilitySullivan, IN, CCN 155262 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Rushville Skilled Nursing FacilityRushville, IN, CCN 155053 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Syracuse Skilled Nursing FacilitySyracuse, IN, CCN 155581 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Tipton Skilled Nursing FacilityTipton, IN, CCN 155556 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Peru Skilled Nursing FacilityPeru, IN, CCN 155039 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Rockport Skilled Nursing FacilityRockport, IN, CCN 155274 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Chesterfield Skilled Nursing FacilityChesterfield, IN, CCN 155617 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Fort Wayne Skilled Nursing FacilityFort Wayne, IN, CCN 155321 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Wakarusa Skilled Nursing FacilityWakarusa, IN, CCN 155582 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Hartford City Skilled Nursing FacilityHartford City, IN, CCN 155576 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Columbia City Skilled Nursing FacilityColumbia City, IN, CCN 155150 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Castleton Skilled Nursing FacilityIndianapolis, IN, CCN 155271 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Middletown Skilled Nursing FacilityMiddletown, IN, CCN 155573 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Huntington Skilled Nursing FacilityHuntington, IN, CCN 155059 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Hobart Skilled Nursing FacilityHobart, IN, CCN 155251 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Miller'S Merry ManorWalkerton, IN, CCN 155574 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 ManorNew Carlisle, IN, CCN 155578 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry ManorPortage, IN, CCN 155299 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 ManorCulver, IN, CCN 155589 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 ManorWarsaw, IN, CCN 155049 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry ManorGarrett, IN, CCN 155583 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry ManorHope, IN, CCN 155579 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Millers at Oak PointeColumbia City, IN, CCN 155128 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
The Waters of Wabash Skilled Nursing Facility WestWabash, IN, CCN 155627 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Millers Merry ManorMarion, IN, CCN 155173 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 ManorMooresville, IN, CCN 155564 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 SouthGreenwood, IN, CCN 155026 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 ManorLa Porte, IN, CCN 155297 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 ParkFranklin, IN, CCN 155593 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 IDStateProvider typePAC IDDetails
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 (37 organizations share this tax ID)

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05-000006-1 IN Primary
Nursing Facility Supplies (DME) 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X IN

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
100290220AMedicaidIN

Other names 1

NPPES NPI Registry
  • The Waters of Wabash Skilled Nursing Facility East Doing business as

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

Verify at the official NPI Registry.