NPIMap

Organization Active NPI

Jackson County Schneck Memorial Hospital

  • Skilled Nursing Facility
  • Bremen, IN
National Provider Identifier
1275959751
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Practice address
316 Woodies LN
Bremen, IN 46506-1354
Phone
(574) 546-3494
Fax
(574) 546-3199
NPI assigned
Mar 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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) 522-4238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

316 Woodies LN
Bremen, IN 46506-1354

Mailing address

316 Woodies LN
Bremen, IN 46506-1354
Phone (574) 546-3494

Other identifiers 1

IdentifierTypeStateIssuer
100266530CMedicaidIN

Other names 1

  • Signature Healthcare of Bremen Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140508001574 IN Part A Provider - Skilled Nursing Facility 8224004585 Practice locations: Bremen, IN

Skilled nursing facility certification: CCN 155474

Legal name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
SIGNATURE HEALTHCARE OF BREMEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 27, 1992
Last certification
Feb 17, 2025
Beds
73
Ownership / control type
City/County
Organization structure
OtherNon-profit
Enrollment address
316 Woodies LN
Bremen, IN 46506-1354
Nursing home name
SIGNATURE HEALTHCARE OF BREMEN
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare of BremenCCN 155474
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Oct 27, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7357.8 residents per day on average
Chain
Signature Healthcare67 facilities in the chain

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
15D0356486Signature Healthcare of Bremen Jackson Co316 Woodies LN, Bremen, IN 46506Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Schneck Medical Center34 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

Locations

316 Woodies Ln
Bremen, IN 46506
Phone (574) 546-3494

Ownership & related parties

All disclosed owners & managing parties 46

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 Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Rick L Smith Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Andrew B Markel Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Organization, Tustin, CA LLC Adp of the SNF Aug 12, 2015
Organization, Louisville, KY Corporation, Consulting firm Adp of the SNF May 1, 2018
Courtney B Kleber Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Linda Lewis Individual Operational/Managerial Control Feb 19, 2024
Adp of the SNF Feb 19, 2024
Ira Smedra Individual Operational/Managerial Control May 1, 2014
Barbara Revelette Individual Operational/Managerial Control Jan 17, 2022
Adp of the SNF Jan 17, 2022
Charles Syer Individual Operational/Managerial Control May 1, 2024
Deborah a Mann Individual Operational/Managerial Control Feb 10, 2024
Managing Control - Governing BodyVP Finance/Cfo Feb 10, 2014
LP Bremen Management, LLC Organization, Louisville, KY LLC, Management services company Operational/Managerial Control May 1, 2014
Adp of the SNF May 1, 2014
Maria Doyle Individual Adp of the SNF Jul 1, 2021
Healthcare Services Group Inc Organization, Bensalem, PA Corporation Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Organization, Tustin, CA Adp of the SNF Aug 12, 2015
Matthew K Reedy Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
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 Jan 1, 2017
Jacob Wintner Individual Operational/Managerial Control May 1, 2014
Asbr Holdings LLC Organization, Louisville, KY LLC, Holding company Operational/Managerial Control May 1, 2018
Terrence L Gilliland Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Organization, Tustin, CA Corporation, Real estate investment trust (REIT) Adp of the SNF Aug 12, 2015
LP Bremen LLC Organization, Louisville, KY LLC Adp of the SNF Sep 26, 2025
Susan D Bevers Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Eric D Fish Individual Operational/Managerial Control Sep 1, 2020
Managing Control - Governing BodyPresident and Ceo Sep 1, 2020
Signature Healthcare Clinical Consulting Services LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2014
Signature Healthcare Consulting Services LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2014
Charles M Stigler Individual Operational/Managerial Control May 1, 2014
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, 2014
Paul R Gettinger Individual Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
John H Harrison Individual Operational/Managerial Control May 1, 2014
Adp of the SNF May 1, 2014
Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Jan 1, 2025
Nicole Blimling Individual Operational/Managerial Control May 21, 2024
Adp of the SNF May 21, 2024
Organization, New York, NY Financial institution Adp of the SNF May 7, 2018
Brandon J Harpe Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Jackson County Schneck Memorial Hospital Organization, Seymour, IN 5% Or Greater Direct Ownership Interest May 1, 2014 100%
5% Or Greater Indirect Ownership Interest May 1, 2014 100%
Adp of the SNF Sep 26, 2025
Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2014
Roland G Rapp Individual Operational/Managerial Control May 1, 2014
Marc Storey Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Elmer Joseph Steier III Individual Operational/Managerial Control May 1, 2014
Midcap Funding IV Trust Organization, Bethesda, MD Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Feb 23, 2023 100%
Operational/Managerial Control Feb 23, 2023
Organization, Springfield, MO Adp of the SNF Nov 18, 2024
Individual Adp of the SNF May 8, 2017
Timothy H Lehner Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

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 at ParkwoodLebanon, IN, CCN 155378 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
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
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 60

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

View all 60

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1275959751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WOODIES LN",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061354",
            "telephone_number": "574-546-3494",
            "fax_number": "574-546-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WOODIES LN",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061354",
            "telephone_number": "574-546-3494",
            "fax_number": "574-546-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "FORGEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "812-522-4238"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266530C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare of Bremen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bremen, IN

Sources for this page

Verify at the official NPI Registry.