Daviess County Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DAVIESS COUNTY HOSPITAL

Practice address

3043 N Lintel Dr
Bloomington, IN 47404-8945

Phone

(812) 333-7622

NPI assigned

Oct 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul P Plevayk

Title

Sr. Vice President Finance & Operat

Phone

(502) 412-5847

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hearthstone Health Campus Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Skilled nursing facility certification: CCN 155818

Legal name

DAVIESS COUNTY HOSPITAL

Doing business as

HEARTHSTONE HEALTH CAMPUS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 18, 2014

Last certification

Jan 14, 2025

Beds

139 (64 certified)

Ownership / control type

Corporation

Multi-facility organization

Trilogy Health Services

Organization structure

GovernmentNon-profit

Enrollment address

3043 N Lintel Dr
# L
Bloomington, IN 47404-8945

Nursing home name

HEARTHSTONE HEALTH CAMPUS

Affiliated entity

TRILOGY HEALTH SERVICES

Listed as

Hearthstone Health CampusCCN 155818

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 18, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6457.8 residents per day on average

Chain

Trilogy Health Services123 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Tammy Ziegler CNP44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

• Daviess Community Hospital

  • Chiropractor
  • Washington, IN
  • NPI 1700264967
  NPD tax ID
• Daviess County Hospital

  • Rural Health Clinic/Center
  • Washington, IN
  • NPI 1023340965
  NPD tax ID
• Daviess County Hospital

  • Psychologist
  • Washington, IN
  • NPI 1043051014
  NPD tax ID
• Daviess County Hospital

  • Skilled Nursing Facility
  • Vincennes, IN
  • NPI 1083853071
  NPD tax ID
• Daviess County Hospital

  • Orthopaedic Surgery Physician
  • Washington, IN
  • NPI 1083915326
  NPD tax ID
• Daviess County Hospital

  • Skilled Nursing Facility
  • Bloomington, IN
  • NPI 1174868822
  NPD tax ID
• Daviess County Hospital

  • Skilled Nursing Facility
  • Greenfield, IN
  • NPI 1215980156
  NPD tax ID
• Daviess County Hospital

  • Specialist
  • Washington, IN
  • NPI 1245658699
  NPD tax ID
• Daviess County Hospital

  • Gynecology Physician
  • Washington, IN
  • NPI 1275482648
  NPD tax ID
• Daviess County Hospital

  • Medical Specialty Clinic/Center
  • Washington, IN
  • NPI 1275745002
  NPD tax ID
• Daviess County Hospital

  • Rehabilitation Hospital Unit
  • Washington, IN
  • NPI 1336113513
  NPD tax ID
• Daviess County Hospital

  • Rural Health Clinic/Center
  • Montgomery, IN
  • NPI 1336959279
  NPD tax ID

Locations

All disclosed owners & managing parties 25

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kevin D Neese, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1699710319

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  Adp of the SNF

  CMS ownership

All facility ownership & control disclosures 26

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

Facilities with the same owner 25

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

• Adams County Memorial Hospital

  • Nursing Facility/Intermediate Care Facility
  • Newburgh, IN
  • NPI 1780633800

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Rural Health Clinic/Center
  • Washington, IN
  • NPI 1023340965

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Skilled Nursing Facility
  • Vincennes, IN
  • NPI 1083853071

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Skilled Nursing Facility
  • Bloomington, IN
  • NPI 1174868822

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Skilled Nursing Facility
  • Greenfield, IN
  • NPI 1215980156

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Rural Health Clinic/Center
  • Montgomery, IN
  • NPI 1336959279

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Rural Health Clinic/Center
  • Washington, IN
  • NPI 1356468631

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Skilled Nursing Facility
  • Bloomington, IN
  • NPI 1447641683

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Skilled Nursing Facility
  • Hanover, IN
  • NPI 1548329766

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Skilled Nursing Facility
  • New Harmony, IN
  • NPI 1578502936

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Skilled Nursing Facility
  • Sheridan, IN
  • NPI 1609819572

  Daviess County Hospital

  CMS ownership
• Daviess County Hospital

  • Skilled Nursing Facility
  • Cloverdale, IN
  • NPI 1679827463

  Daviess County Hospital

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kevin D Neese, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1699710319

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1316375686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521648",
            "telephone_number": "502-412-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 N LINTEL DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474048945",
            "telephone_number": "812-333-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIESS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "PLEVAYK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT FINANCE & OPERAT",
        "authorized_official_telephone_number": "502-412-5847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201247830A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchdirect@direct.dchsystem.com",
            "affiliation": "N",
            "address_1": "421 E Van Trees St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hearthstone Health Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hearthstone Health Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David G. Crane, Inc.
• Deanna Davidson, RBT
• Ellen L Davidson
• Laura Elizabeth Davidson, NP
• Daviess County Hospital
• Daviess County Hospital
• Allison Marie Davis, OD
• Amiyah Davis
• Amy Davis
• Carrie Lynn Davis, M.D.

• All providers in Bloomington, IN
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.