Adams County Memorial Hospital
Organization Active NPI Skilled Nursing Facility · Crown Point, IN
NPI 1407959059 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1407959059
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 060003601 (IN)
- Legal business name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Practice address
- 119 N Indiana Ave
Crown Point, IN 46307-4112 - Phone
- (219) 663-2532
- Fax
- (219) 662-0714
- NPI assigned
- Sep 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ADAMS COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Kyle Sprunger
- Title
- Cfo/Treasurer
- Phone
- (260) 724-2145
Owners & managing parties with NPI records 2
-
Scott E Lehman, O.D.
-
Kristine Teodori, DO
Corporate family (same tax ID) 24
Facilities with the same owner 57
Medicare Care Compare: Nursing home
- Listed as
- Colonial Nursing Home
- 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
- Active
- Certified beds
- 55 · 29.1 residents per day on average
- Chain
- Ide Management Group
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0699169 | Colonial Nursing Home | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
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
- Government · Non-profit
- Enrollment address
- 119 N Indiana Ave
Crown Point, IN 46307-4112 - Nursing home name
- COLONIAL NURSING HOME
- Affiliated entity
- IDE MANAGEMENT GROUP
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| First Bank of Berne |
Adp of the SNF | Jan 1, 2020 | |
| Adams County Memorial Hospital |
5% Or Greater Direct Ownership Interest | Jun 1, 2012 | 100% |
| Operational/Managerial Control | Jun 1, 2012 | ||
| Scott E Lehman |
Operational/Managerial Control | Jul 14, 2020 | |
| Managing Control - Governing Body |
Jul 14, 2020 | ||
| 119 Crown Point Propco LLC |
Adp of the SNF | Nov 1, 2020 | |
| Lme Family Holdings LLC |
Adp of the SNF | Nov 1, 2020 | |
| Kristine Teodori |
Operational/Managerial Control | Nov 1, 2020 | |
| Adp of the SNF | Nov 1, 2020 | ||
| Larry Macklin |
Operational/Managerial Control | Jun 1, 2012 | |
| Managing Control - Governing Body |
Jun 1, 2012 | ||
| Dane Wheeler |
Operational/Managerial Control | Jun 1, 2012 | |
| Russell W Flueckiger |
Operational/Managerial Control | Jun 1, 2012 | |
| Managing Control - Governing Body |
Jun 1, 2012 | ||
| David McIntire |
Operational/Managerial Control | Jan 1, 2019 | |
| Managing Control - Governing Body |
Jan 1, 2019 | ||
| Candice Borne-Bauman |
Operational/Managerial Control | Jan 1, 2019 | |
| Managing Control - Governing Body |
Jan 1, 2019 | ||
| Blue Management Services LLC |
Adp of the SNF | Jan 1, 2024 | |
| Jennifer Short |
Operational/Managerial Control | Nov 21, 2022 | |
| Adp of the SNF | Nov 21, 2022 | ||
| Summation Financial Services LLC |
Adp of the SNF | Nov 1, 2020 | |
| Kyle Sprunger |
Operational/Managerial Control | Jan 1, 2018 | |
| Colonial Nursing and Rehabilitation LLC |
Operational/Managerial Control | Nov 1, 2020 | |
| Adp of the SNF | Nov 1, 2020 | ||
| Scott T Smith |
Operational/Managerial Control | Jan 1, 2020 | |
| Cibc Bank USA |
5% Or Greater Mortgage Interest | Nov 1, 2020 | 100% |
| Clinical Consulting Services LLC |
Adp of the SNF | Nov 1, 2020 | |
| Samara Family Holdings LLC |
Adp of the SNF | Nov 1, 2020 |
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 |
| 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 |
| Manderley Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2022 Dec 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 |
|---|---|---|---|---|
| O20120924000732 | IN | Part a Provider - Skilled Nursing Facility | 0941198253 | Practice locations: Crown Point, IN |
National Provider Directory
- Tax ID family
- Adams Co Memorial Hosp
- Part of
- Adams Co Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 060003601 | IN | |
| Skilled Nursing Facility | 314000000X | 060003601 | IN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100290370B | Medicaid | IN |
Other names
- Colonial Nursing Home
Other providers in Crown Point, IN
- Abundance Home Care LLC
- Omar Mostafa Abuzeid
- Accelerated Rehabilitation Centers LTD
- Aceso Visiting Physicians and Geriatric Care Inc.
- Ann Achufusi
- Jody Adams
- Adarna Home Health Care Services, Inc.
- Rajive K Adlaka
- Rebecca C Adlaka
- Advanced Dental Care (Crown Point) P.C.
All providers in Crown Point, 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 Jun 10, 2026. 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.