Adams County Memorial Hospital
Organization Active NPI Skilled Nursing Facility · Osgood, IN
NPI 1366440927 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1366440927
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 050004931 (IN)
- Legal business name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Practice address
- 806 S Buckeye Street
Osgood, IN 47037-1332 - Phone
- (812) 689-4143
- Fax
- (812) 689-4150
- NPI assigned
- Jul 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Kyle Sprunger, CPA
- Title
- Assistant Cfo
- Phone
- (260) 724-2145
Owners & managing parties with NPI records 2
-
Scott E Lehman, O.D.
Corporate family (same tax ID) 24
Member of 1
Facilities with the same owner 57
Medicare Care Compare: Nursing home
- Listed as
- Manderley Health Care Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 4, 2004
- Medicare certification status
- Active
- Certified beds
- 71 · 52.9 residents per day on average
- Chain
- Adams County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155728
- Legal name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Doing business as
- MANDERLEY HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 4, 2004
- Last certification
- Jan 31, 2025
- Beds
- 71
- Ownership / control type
- Corporation
- Multi-facility organization
- Priority Health Group
- Organization structure
- Government · Non-profit
- Enrollment address
- 806 S Buckeye St
Osgood, IN 47037-1332 - Nursing home name
- MANDERLEY HEALTH CARE CENTER
- Affiliated entity
- ADAMS COUNTY MEMORIAL HOSPITAL
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| First Bank of Berne |
Adp of the SNF | Dec 1, 2022 | |
| Adams County Memorial Hospital |
5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 100% |
| Operational/Managerial Control | Dec 1, 2022 | ||
| Scott E Lehman |
Operational/Managerial Control | Dec 1, 2022 | |
| Managing Control - Governing Body |
Dec 1, 2022 | ||
| Lme Family Holdings LLC |
Adp of the SNF | Dec 1, 2022 | |
| Larry Macklin |
Operational/Managerial Control | Dec 1, 2022 | |
| Managing Control - Governing Body |
Dec 1, 2022 | ||
| Manderley Operations LLC |
Operational/Managerial Control | Dec 1, 2022 | |
| Adp of the SNF | Dec 1, 2022 | ||
| Dane Wheeler |
Corporate Officer |
Sep 1, 2022 | 100% |
| Operational/Managerial Control | Dec 1, 2022 | ||
| Russell W Flueckiger |
Operational/Managerial Control | Dec 1, 2022 | |
| Managing Control - Governing Body |
Dec 1, 2022 | ||
| David McIntire |
Operational/Managerial Control | Dec 1, 2022 | |
| Managing Control - Governing Body |
Dec 1, 2022 | ||
| Pragneshkumar N Radadiya |
Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Candice Borne-Bauman |
Operational/Managerial Control | Dec 1, 2022 | |
| Managing Control - Governing Body |
Dec 1, 2022 | ||
| Monica M Ogden |
Operational/Managerial Control | Mar 27, 2023 | |
| Adp of the SNF | Mar 27, 2023 | ||
| Blue Management Services LLC |
Adp of the SNF | Jan 1, 2024 | |
| Summation Financial Services LLC |
Adp of the SNF | Dec 1, 2022 | |
| Lake Forest Bank & Trust Company, N.a. |
5% Or Greater Mortgage Interest | Dec 1, 2022 | 100% |
| Kyle Sprunger |
Corporate Officer |
Dec 1, 2022 | 100% |
| Operational/Managerial Control | Dec 1, 2022 | ||
| 806 S Buckeye Property LLC |
Adp of the SNF | Dec 1, 2022 | |
| Scott T Smith |
Operational/Managerial Control | Dec 1, 2022 | |
| Clinical Consulting Services LLC |
Adp of the SNF | Dec 1, 2022 | |
| Samara Family Holdings LLC |
Adp of the SNF | Dec 1, 2022 |
All facility ownership & control disclosures 59
| Facility | Type | Role | Since |
|---|---|---|---|
| Adams County Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams County Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams Woodcrest |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Nov 22, 2005 Nov 22, 2005 Nov 22, 2005 |
| Adams Heritage |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Apr 28, 2004 Apr 28, 2004 Apr 28, 2004 |
| Woodland Manor |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2012 May 1, 2012 |
| Warsaw Meadows |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Colonial Nursing Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2012 Jun 1, 2012 |
| Lutheran Life Villages |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Hawthorne Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Lutheran Life Villages |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Kendallville Manor |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2012 Oct 1, 2012 |
| Northwest Manor Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Cloverleaf of Knightsville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Majestic Care of Goshen |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 19, 2013 Feb 19, 2013 |
| Caroleton Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2013 May 1, 2013 |
| Christian Care Retirement Community |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2013 Jan 1, 2025 |
| Cathedral Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2014 Nov 1, 2014 |
| River Terrance Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2014 |
| Lutheran Life Villages |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| The Cedars |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2015 Jun 1, 2015 |
| Chesterton Manor |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Yorktown Manor |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Sacred Heart Village |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2015 |
| Majestic Care of New Haven |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2015 Nov 1, 2015 |
| Chalet Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2015 Jul 1, 2013 |
| Silver Memories Health Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 1, 2015 Oct 1, 2015 |
| Saint Anne Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2016 Sep 1, 2016 |
| Holy Cross Rehabilitation and Wellness |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2017 |
| Swiss Village |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2018 |
| Oak Village |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2017 Dec 1, 2017 |
| Shady Nook Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2020 Sep 1, 2020 |
| Envive of Lawrenceburg |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2021 Dec 1, 2021 |
| The Waters of Georgetown |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Envive of Berne |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2021 Dec 1, 2021 |
| Envive of Huntington |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Anderson |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Indianapolis |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Hartford City |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Envive of Sullivan |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Heritage Pointe of Huntington |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Heritage Pointe of Warren |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Heritage Pointe of Fort Wayne |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Envive of Beech Grove |
Skilled nursing facility | Direct Ownership Interest (100%) | Oct 1, 2022 |
| River Bend Nursing and Rehbilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2022 Sep 1, 2022 |
| Envive of Evansville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2023 Jul 1, 2023 |
| Harrison Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Rolling Hills Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Sellersburg Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Wedgewood Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Dec 1, 2023 Dec 1, 2023 Dec 31, 2025 |
| Indian Creek Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Chase Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Pilgrim Manor |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2024 Jan 1, 2025 |
| Envive of Muncie |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
| Envive of Liberty |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
| Monroe Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams Statcare and Behavioral Health |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Decatur Family Medicine - Woodcrest Connection |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Adams Medical Group - High Street |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2019 |
| Adams Medical Group - Geneva |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230328002565 | IN | Part a Provider - Skilled Nursing Facility | 0941198253 | Practice locations: Osgood, IN |
National Provider Directory
- Tax ID family
- Adams Co Memorial Hosp
Locations
806 S Buckeye St
Osgood, IN 47037
Phone (812) 689-4143
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 050004931 | IN | Yes |
Addresses
Primary practice location
806 S Buckeye Street
Osgood, IN 47037-1332
Mailing address
1100 Mercer Avenue
PO Box 151
Decatur, IN 46733-2303
Phone (260) 724-2145
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200863700A | Medicaid | IN | |
| 100291300A | Medicaid | IN |
Other names
- Manderley Health Care Center
Other providers in Osgood, IN
All providers in Osgood, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.