Organization Active NPI

Pulaski Memorial Hospital

Doing business as Majestic Care of North Vernon

  • Skilled Nursing Facility
  • North Vernon, IN
National Provider Identifier
1497792345
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
15-010996-1 Issued in IN
Legal business name
PULASKI MEMORIAL HOSPITAL
Doing business as
Majestic Care of North Vernon
Practice address
701 Henry St
North Vernon, IN 47265-1095
Phone
(812) 346-9333
Fax
(812) 352-0011
NPI assigned
Jun 1, 2006
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 15-010996-1 IN Primary

Addresses

Primary practice location

701 Henry St
North Vernon, IN 47265-1095

Mailing address

701 Henry St
North Vernon, IN 47265-1095
Phone (812) 346-9333

Other names 1

  • Majestic Care of North Vernon Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dchdirect@direct.dchsystem.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161021000058 IN Part A Provider - Skilled Nursing Facility 1557271665 Practice locations: North Vernon, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497792345. Details of each certification follow.

Skilled nursing facility certification: CCN 155665

Legal name
DAVIESS COUNTY HOSPITAL
Doing business as
MAJESTIC CARE OF NORTH VERNON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 26, 1999
Last certification
Jun 12, 2025
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Majestic Care
Most recent change of ownership
Aug 1, 2016
Organization structure
GovernmentNon-profit
Enrollment address
701 Henry St
North Vernon, IN 47265-1095
Nursing home name
MAJESTIC CARE OF NORTH VERNON
Affiliated entity
MAJESTIC CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Majestic Care of North VernonCCN 155665 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 26, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12094.7 residents per day on average
Chain
Majestic Care22 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
15D0958643Pulaski Memorial Hospital701 Henry St, North Vernon, IN 47265Certificate of waiverMar 22, 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

Locations

701 Henry St
North Vernon, IN 47265
Phone (812) 346-0651

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
David Alexander Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
April D Settles Individual Corporate OfficerCfo Jan 1, 2025 100%
Operational/Managerial Control Jan 1, 2025
Majestic Care of North Vernon LLC Organization, Flushing, NY LLC, Management services company Operational/Managerial Control Jun 1, 2018 100%
Adp of the SNF Apr 3, 2025
Daviess County Hospital Organization, Washington, IN Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2016 100%
Operational/Managerial Control Aug 1, 2016
Adp of the SNF Apr 3, 2025
Majestic Management LLC Organization, Westfield, IN LLC, Management services company, For-profit Operational/Managerial Control Jun 1, 2018
Adp of the SNF Apr 3, 2025
701 Henry SNF Realty LLC Organization, Flushing, NY LLC, For-profit Adp of the SNF Jun 1, 2018
Angela Rewa Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Lakewood, NJ Consulting firm Adp of the SNF Apr 10, 2025
Robert Laron Russell Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Paul Pruitt Individual Corporate OfficerCeo Jan 1, 2025 100%
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
MDG Real Estate Global Limited Organization, Flushing, NY LLC, For-profit Adp of the SNF Jun 1, 2018
Deron Steiner Individual Corporate DirectorBoard Chairman Aug 1, 2016 100%
Operational/Managerial Control Jan 1, 2025
Margaret Chamberlain Individual Corporate OfficerGeneral Counsel Sep 11, 2023 10%
Kevin D Neese Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Anzhelika Shatrov Individual Corporate OfficerCfo Jan 1, 2025 100%
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
David Marx Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Daniel R Kern Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Eric Wolfe Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Flushing, NY LLC, Holding company, For-profit Adp of the SNF Jun 1, 2018

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 26

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

FacilityTypeRoleSince
Daviess Community HospitalWashington, IN, CCN 150061 Hospital Operational/Managerial Control Nov 4, 2014
Autumn Woods Health CampusNew Albany, IN, CCN 155681 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2014
Dec 1, 2014
Hearthstone Health CampusBloomington, IN, CCN 155818 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Dec 1, 2014
Dec 1, 2014
Dec 1, 2014
Hampton Oaks Health CampusScottsburg, IN, CCN 155753 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
May 1, 2015
May 1, 2015
May 1, 2015
Newburgh Health CareNewburgh, IN, CCN 155354 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Stonecroft Health CampusBloomington, IN, CCN 155838 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Sep 1, 2015
Sep 1, 2015
Sep 1, 2015
The Villages at Oak RidgeWashington, IN, CCN 155837 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Aug 1, 2015
Dec 1, 2014
Dec 1, 2014
Beaumont Healthcare and Rehabilitation CenterAnderson, IN, CCN 155005 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Feb 1, 2016
Feb 1, 2016
Feb 1, 2016
Charleston Place at New AlbanyNew Albany, IN, CCN 155668 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2016
Laurels of DekalbButler, IN, CCN 155386 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
Majestic Care of SheridanSheridan, IN, CCN 155376 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Aug 1, 2016
Aug 1, 2016
Jul 3, 2025
Majestic Care of Fort WayneFort Wayne, IN, CCN 155359 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Aug 1, 2016
Aug 1, 2016
Jul 7, 2025
Majestic Care of ConnersvilleConnersville, IN, CCN 155491 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Aug 1, 2016
Aug 1, 2016
Jul 1, 2025
Premier Healthcare of New HarmonyNew Harmony, IN, CCN 155370 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Aperion Care SummerfieldCloverdale, IN, CCN 155587 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
Aperion Care VincennesVincennes, IN, CCN 155042 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jan 1, 2017
Aperion Care MonroeBloomington, IN, CCN 155532 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
Aperion Care GreenfieldGreenfield, IN, CCN 155254 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
Aperion Care LincolnEvansville, IN, CCN 155820 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2017
Aperion Care HanoverHanover, IN, CCN 155208 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2018
The Restoracy of GoshenGoshen, IN, CCN 155856 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jun 1, 2021
Oct 10, 2024
Oct 24, 2024
Daviess County HospitalWashington, IN, CCN 151553 Hospice Operational/Managerial Control Mar 11, 2015
DCH Health PavilionWashington, IN, CCN 158501 Rural health clinic Operational/Managerial Control Mar 6, 1989
DCH Medical ClinicWashington, IN, CCN 158500 Rural health clinic Other Apr 2, 2015
Grand Avenue PediatricsWashington, IN, CCN 158503 Rural health clinic Operational/Managerial Control Nov 4, 2014
DCH Montgomery Medical ClinicMontgomery, IN, CCN 158593 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2025

Facilities with the same owner 42

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

View all 42

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1497792345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HENRY ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651095",
            "telephone_number": "812-346-9333",
            "fax_number": "812-352-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HENRY ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651095",
            "telephone_number": "812-346-9333",
            "fax_number": "812-352-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "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": "IN",
            "license": "15-010996-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchdirect@direct.dchsystem.com",
            "affiliation": "N",
            "address_1": "421 E Van Trees St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Majestic Care of North Vernon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Vernon, IN

Sources for this page

Verify at the official NPI Registry.