Organization Active NPI

Adams County Memorial Hospital

Doing business as Colonial Nursing Home

  • Skilled Nursing Facility
  • Crown Point, IN
National Provider Identifier
1407959059
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060003601 Issued in IN
Legal business name
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as
Colonial Nursing Home
Practice address
119 N Indiana Ave
Crown Point, IN 46307-4112
Phone
(219) 663-2532
Fax
(219) 662-0714
NPI assigned
Sep 7, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAMS COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Kyle Sprunger
Title
Cfo/Treasurer
Phone
(260) 724-2145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 060003601 IN
Skilled Nursing Facility 314000000X 060003601 IN Primary

Addresses

Primary practice location

119 N Indiana Ave
Crown Point, IN 46307-4112

Mailing address

1100 Mercer Ave
PO Box 151
Decatur, IN 46733-2303
Phone (260) 724-2145

Other names 1

  • Colonial Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120924000732 IN Part A Provider - Skilled Nursing Facility 0941198253 Practice locations: Crown Point, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407959059. Details of each certification follow.

Skilled nursing facility certification: CCN 155733

Legal name
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as
COLONIAL NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 31, 2004
Last certification
Jun 2, 2025
Beds
55
Ownership / control type
Individual
Organization structure
GovernmentNon-profit
Enrollment address
119 N Indiana Ave
Crown Point, IN 46307-4112
Nursing home name
COLONIAL NURSING HOME
Affiliated entity
IDE MANAGEMENT GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Colonial Nursing HomeCCN 155733 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Aug 31, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5529.1 residents per day on average
Chain
Ide Management Group10 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
15D0699169Colonial Nursing Home119 N Indiana Ave, Crown Point, IN 46307Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Adams County Mem Hospital74 organizations share this tax ID, including this one
Part of
Adams County Mem Hospital

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
First Bank of Berne Organization, Berne, IN Corporation, Financial institution Adp of the SNF Jan 1, 2020
Adams County Memorial Hospital Organization, Decatur, IN 5% Or Greater Direct Ownership Interest Jun 1, 2012 100%
Operational/Managerial Control Jun 1, 2012
Scott E Lehman Individual Operational/Managerial Control Jul 14, 2020
Managing Control - Governing BodyBoard Member Jul 14, 2020
119 Crown Point Propco LLC Organization, Howell, NJ LLC Adp of the SNF Nov 1, 2020
Lme Family Holdings LLC Organization, Hewlett, NY LLC Adp of the SNF Nov 1, 2020
Kristine Teodori Individual Operational/Managerial Control Nov 1, 2020
Adp of the SNF Nov 1, 2020
Larry Macklin Individual Operational/Managerial Control Jun 1, 2012
Managing Control - Governing BodyBoard Member Jun 1, 2012
Dane Wheeler Individual Operational/Managerial Control Jun 1, 2012
Russell W Flueckiger Individual Operational/Managerial Control Jun 1, 2012
Managing Control - Governing BodyBoard Member Jun 1, 2012
David McIntire Individual Operational/Managerial Control Jan 1, 2019
Managing Control - Governing BodyBoard Member Jan 1, 2019
Candice Borne-Bauman Individual Operational/Managerial Control Jan 1, 2019
Managing Control - Governing BodyBoard Member Jan 1, 2019
Blue Management Services LLC Organization, Carmel, IN LLC Adp of the SNF Jan 1, 2024
Jennifer Short Individual Operational/Managerial Control Nov 21, 2022
Adp of the SNF Nov 21, 2022
Summation Financial Services LLC Organization, Howell, NJ LLC Adp of the SNF Nov 1, 2020
Kyle Sprunger Individual Operational/Managerial Control Jan 1, 2018
Colonial Nursing and Rehabilitation LLC Organization, Crown Point, IN LLC, Management services company Operational/Managerial Control Nov 1, 2020
Adp of the SNF Nov 1, 2020
Scott T Smith Individual Operational/Managerial Control Jan 1, 2020
Cibc Bank USA Organization, Chicago, IL Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2020 100%
Clinical Consulting Services LLC Organization, Eddystone, PA LLC Adp of the SNF Nov 1, 2020
Samara Family Holdings LLC Organization, New York, NY LLC Adp of the SNF Nov 1, 2020

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 59

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

FacilityTypeRoleSince
Adams County Memorial HospitalDecatur, IN, CCN 151330 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams County Memorial HospitalDecatur, IN, CCN 15Z330 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams WoodcrestDecatur, IN, CCN 155747 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 HeritageMonroeville, IN, CCN 155729 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 ManorElkhart, IN, CCN 155086 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
May 1, 2012
May 1, 2012
Warsaw MeadowsWarsaw, IN, CCN 155566 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Lutheran Life VillagesKendallville, IN, CCN 155744 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Hawthorne Healthcare CenterIndianapolis, IN, CCN 155780 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Lutheran Life VillagesFort Wayne, IN, CCN 155586 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Kendallville ManorKendallville, IN, CCN 155482 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2012
Oct 1, 2012
Northwest Manor Health Care CenterIndianapolis, IN, CCN 155041 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Cloverleaf of KnightsvilleKnightsville, IN, CCN 155542 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Majestic Care of GoshenGoshen, IN, CCN 155689 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Feb 19, 2013
Feb 19, 2013
Caroleton Healthcare CenterConnersville, IN, CCN 155387 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
May 1, 2013
May 1, 2013
Christian Care Retirement CommunityBluffton, IN, CCN 155701 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2013
Jan 1, 2025
Cathedral Health Care CenterJasper, IN, CCN 155720 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Nov 1, 2014
Nov 1, 2014
River Terrance Health Care CenterBluffton, IN, CCN 155726 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2014
Lutheran Life VillagesFort Wayne, IN, CCN 155800 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
The CedarsLeo, IN, CCN 155796 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2015
Jun 1, 2015
Chesterton ManorChesterton, IN, CCN 155246 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Aug 1, 2015
Aug 1, 2015
Yorktown ManorYorktown, IN, CCN 155238 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Aug 1, 2015
Aug 1, 2015
Sacred Heart VillageAvilla, IN, CCN 155512 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
Majestic Care of New HavenNew Haven, IN, CCN 155207 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Nov 1, 2015
Nov 1, 2015
Chalet Rehabilitation and Healthcare CenterIndianapolis, IN, CCN 155336 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Nov 1, 2015
Jul 1, 2013
Silver Memories Health CareVersailles, IN, CCN 155847 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 1, 2015
Oct 1, 2015
Saint Anne HomeFort Wayne, IN, CCN 155349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2016
Sep 1, 2016
Holy Cross Rehabilitation and WellnessSouth Bend, IN, CCN 155506 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2017
Swiss VillageBerne, IN, CCN 155707 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2018
Oak VillageOaktown, IN, CCN 155714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2017
Dec 1, 2017
Shady Nook Care CenterLawrenceburg, IN, CCN 155525 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2020
Sep 1, 2020
Envive of LawrenceburgLawrenceburg, IN, CCN 155061 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2021
Dec 1, 2021
The Waters of GeorgetownGeorgetown, IN, CCN 155770 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Envive of BerneBerne, IN, CCN 155473 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2021
Dec 1, 2021
Envive of HuntingtonHuntington, IN, CCN 155531 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of AndersonAnderson, IN, CCN 155690 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of IndianapolisIndianapolis, IN, CCN 155077 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of Hartford CityHartford City, IN, CCN 155699 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Envive of SullivanSullivan, IN, CCN 155468 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Heritage Pointe of HuntingtonHuntington, IN, CCN 155692 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2022
Jun 1, 2022
Heritage Pointe of WarrenWarren, IN, CCN 155705 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2022
Jun 1, 2022
Heritage Pointe of Fort WayneFort Wayne, IN, CCN 155828 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2022
Jun 1, 2022
Envive of Beech GroveBeech Grove, IN, CCN 155859 Skilled nursing facility Direct Ownership Interest (100%) Oct 1, 2022
River Bend Nursing and RehbilitationEvansville, IN, CCN 155621 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2022
Sep 1, 2022
Manderley Health Care CenterOsgood, IN, CCN 155728 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2022
Dec 1, 2022
Envive of EvansvilleEvansville, IN, CCN 155716 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2023
Jul 1, 2023
Harrison Healthcare CenterCorydon, IN, CCN 155657 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2023
Dec 1, 2023
Rolling Hills Healthcare CenterNew Albany, IN, CCN 155488 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2023
Dec 1, 2023
Sellersburg Healthcare CenterSellersburg, IN, CCN 155659 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2023
Dec 1, 2023
Wedgewood Healthcare CenterClarksville, IN, CCN 155265 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 CenterCorydon, IN, CCN 155312 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2023
Dec 1, 2023
Chase CenterLogansport, IN, CCN 155710 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024
Pilgrim ManorPlymouth, IN, CCN 155073 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2024
Jan 1, 2025
Envive of MuncieMuncie, IN, CCN 155549 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jan 1, 2025
Jan 1, 2025
Envive of LibertyLiberty, IN, CCN 155507 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jan 1, 2025
Jan 1, 2025
Monroe Family MedicineMonroe, IN, CCN 158526 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams Statcare and Behavioral HealthDecatur, IN, CCN 158537 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Decatur Family Medicine - Woodcrest ConnectionDecatur, IN, CCN 158536 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Adams Medical Group - High StreetDecatur, IN, CCN 158555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Adams Medical Group - GenevaGeneva, IN, CCN 158599 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025

Facilities with the same owner 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1407959059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MERCER AVE",
            "address_2": "PO BOX 151",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332303",
            "telephone_number": "260-724-2145",
            "fax_number": "260-728-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N INDIANA AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074112",
            "telephone_number": "219-663-2532",
            "fax_number": "219-662-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAMS COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "SPRUNGER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CFO/TREASURER",
        "authorized_official_telephone_number": "260-724-2145"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "060003601",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "060003601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.