NPIMap

Organization Active NPI

Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • South Bend, IN
National Provider Identifier
1487044822
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PULASKI MEMORIAL HOSPITAL
Practice address
5024 Western Ave.
South Bend, IN 46619-2312
Phone
(574) 318-4600
Fax
(574) 400-0619
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Gregg A Malott
Title
Chief Financial Officer
Phone
(574) 946-2103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5024 Western Ave.
South Bend, IN 46619-2312

Mailing address

5024 Western Ave.
South Bend, IN 46619-2312
Phone (574) 318-4600

Other identifiers 1

IdentifierTypeStateIssuer
200808300AMedicaidIN

Other names 1

  • Briarcliff Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321002563 IN Part A Provider - Skilled Nursing Facility 3173515509 Practice locations: South Bend, IN

Skilled nursing facility certification: CCN 155831

Legal name
PULASKI MEMORIAL HOSPITAL
Doing business as
BRIARCLIFF HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 7, 2015
Last certification
Aug 12, 2024
Beds
131
Ownership / control type
Other Nonprofit
Multi-facility organization
Sterling Healthcare Management
Organization structure
GovernmentNon-profit
Enrollment address
5024 W Western Ave
South Bend, IN 46619-2312
Nursing home name
BRIARCLIFF HEALTH & REHABILITATION CENTER
Affiliated entity
STERLING HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Briarcliff Health & Rehabilitation CenterCCN 155831
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
May 7, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13192.5 residents per day on average
Chain
Sterling Healthcare5 facilities in the chain
Penalties (3 years)
1Fines totaling $10,839

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
15D2095757Pulaski Memorial Hospital D/B/a Briarcliff Health5024 Western Avenue, South Bend, IN 46619Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cindy Parker MD43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Briarcliff Health Care - South Bend LLC Organization, Skokie, IL LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2024 100%
Christopher a Gill Individual W-2 Managing EmployeeAdministrator Jan 1, 2024 100%
Gregg a Malott Individual Corporate OfficerChief Financial Officer Jan 1, 2024 100%
Kimberly Chrisman Individual W-2 Managing EmployeeDirector of Nursing Jan 1, 2024 100%
Pulaski Memorial Hospital Organization, Winamac, IN Non-profit Operational/Managerial Control Jan 1, 2024 100%
Michael McKay Individual Corporate DirectorDirector Jan 1, 2024 100%
Jennifer Smith Individual Corporate DirectorDirector Jan 1, 2024 100%
Adam Bennett Individual Corporate DirectorDirector Jan 1, 2024 100%
Taylor White Individual Corporate DirectorDirector Jan 1, 2024 100%
Valerie J Leman Individual Corporate DirectorDirector Jan 1, 2024 100%
Clinton Kauffman Individual Corporate DirectorDirector Jan 1, 2024 100%
Shaya Mokfi Individual Contracted Managing EmployeeMedical Director Jan 1, 2024 100%
Charles R Hutton Individual Corporate DirectorDirector Jan 1, 2024 100%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 27

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

FacilityTypeRoleSince
Envive of River CityEvansville, IN, CCN 155520 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2014
Jul 1, 2014
Majestic Care of West AllenFort Wayne, IN, CCN 155322 Skilled nursing facility Operational/Managerial Control (100%) Jun 1, 2015
Parkview HavenFrancesville, IN, CCN 155746 Skilled nursing facility Operational/Managerial Control (100%) Sep 1, 2015
Kingston Health Center of Fort WayneFort Wayne, IN, CCN 155479 Skilled nursing facility Operational/Managerial Control (100%) Dec 16, 2025
Northern Lakes Nursing and Rehabilitation CenterAngola, IN, CCN 155449 Skilled nursing facility Operational/Managerial Control (100%) Oct 1, 2015
The Milton HomeSouth Bend, IN, CCN 155738 Skilled nursing facility Operational/Managerial Control (100%) Dec 1, 2016
Simmons Loving Care Health FacilityGary, IN, CCN 155845 Skilled nursing facility Operational/Managerial Control (100%) May 1, 2018
Maple Manor Christian HomeSellersburg, IN, CCN 155766 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2019
Saint AnthonyCrown Point, IN, CCN 155214 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Majestic Care of Jefferson PointeFort Wayne, IN, CCN 155446 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2020
Majestic Care of AvonAvon, IN, CCN 155338 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2020
Cardinal Care StrategiesMuncie, IN, CCN 155400 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 27, 2021
Majestic Care of CarmelCarmel, IN, CCN 155618 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Majestic Care of SouthportIndianapolis, IN, CCN 155247 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Poplar Care StrategiesLoogootee, IN, CCN 155374 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Sycamore Care StrategiesLoogootee, IN, CCN 155263 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Gentle Care StrategiesVincennes, IN, CCN 155519 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Heritage CenterEvansville, IN, CCN 155104 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2023
Saint AnthonyWinamac, IN, CCN 155436 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2023
Hickory Creek at RochesterRochester, IN, CCN 155430 Skilled nursing facility Operational/Managerial Control (100%) Apr 1, 2023
South Shore Health & Rehabilitation CenterGary, IN, CCN 155530 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2024
Asbury Towers Health Care CenterGreencastle, IN, CCN 155758 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2024
Jul 1, 2024
Pulaski Memorial HospitalWinamac, IN, CCN 158512 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 20, 2002
Mar 20, 2002
Pulaski Memorial Hospital Francesville Family MedicineFrancesville, IN, CCN 158528 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1989
Jan 1, 1989
Pulaski Memorial Hospital North Judson Family MedicineNorth Judson, IN, CCN 158527 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1989
Jan 1, 1989
Pulaski Memorial Hospital Knox Medical CenterKnox, IN, CCN 158554 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 2019
Sep 1, 2019
Pulaski Memorial Hospital Culver Medical CenterCulver, IN, CCN 158581 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2024
Jan 1, 2024

Facilities with the same owner 27

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

View all 27

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": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1487044822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 WESTERN AVE.",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192312",
            "telephone_number": "574-318-4600",
            "fax_number": "574-400-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 WESTERN AVE.",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192312",
            "telephone_number": "574-318-4600",
            "fax_number": "574-400-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2024-02-01",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MALOTT",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "574-946-2103"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200808300A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briarcliff Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Briarcliff Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.