Organization Active NPI

Hubbard Hill Estates, Inc.

  • Skilled Nursing Facility
  • Elkhart, IN
National Provider Identifier
1396837639
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06-001131-1 Issued in IN
Legal business name
HUBBARD HILL ESTATES, INC.
Practice address
28070 County Road 24
Elkhart, IN 46517-9774
Phone
(574) 295-6260
Fax
(574) 295-5852
NPI assigned
Sep 28, 2006
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Mr. Patrick Pingel
Title
Executive Director
Phone
(574) 295-6260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06-001131-1 IN Primary

Addresses

Primary practice location

28070 County Road 24
Elkhart, IN 46517-9774

Mailing address

28070 County Road 24
Elkhart, IN 46517-9774
Phone (574) 295-6260

Other identifiers 2

IdentifierTypeStateIssuer
200823940AMedicaidIN
000000493029OtherINANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060404000352 IN Part A Provider - Skilled Nursing Facility 5496763369 Practice locations: Elkhart, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396837639. Details of each certification follow.

Skilled nursing facility certification: CCN 155754

Legal name
HUBBARD HILL ESTATES, INC.
Doing business as
HUBBARD HILL ESTATES INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 27, 2006
Last certification
Sep 10, 2024
Beds
280 (66 certified)
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1975 in IN
Enrollment address
28070 County Road 24
Elkhart, IN 46517-9717
Nursing home name
HUBBARD HILL ESTATES INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hubbard Hill Estates IncCCN 155754 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jul 27, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6668.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Deb Gillum Individual Corporate Director Dec 11, 2017
Bruce Korenstra Individual Corporate OfficerVice Chairman Mar 10, 2014
Corporate Director Apr 4, 2006
Ron Clark Individual Corporate Director Apr 4, 2006
Ronda Powell Individual Corporate Director Sep 14, 2020
Patrick Pingel Individual Corporate DirectorC.E.O. Nov 8, 2004
W-2 Managing EmployeeC.E.O. Nov 8, 2004
Joe Wenger Individual Corporate OfficerBoard Chairman Mar 10, 2014
Corporate Director Mar 10, 2014
Doyle a Yeager Individual Corporate Director Mar 14, 2016
Ken Fervida Individual Corporate Director Sep 8, 2014
Gregory M Conrad Individual Corporate Director Dec 9, 2019
Terry Schollmeier Individual W-2 Managing EmployeeC.O.O. Mar 10, 2014

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1396837639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28070 COUNTY ROAD 24",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179774",
            "telephone_number": "574-295-6260",
            "fax_number": "574-295-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28070 COUNTY ROAD 24",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179774",
            "telephone_number": "574-295-6260",
            "fax_number": "574-295-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBARD HILL ESTATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "PINGEL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-295-6260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "06-001131-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200823940A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000493029",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.