Henry County Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-000346-1 Issued in IN

Legal business name

HENRY COUNTY MEMORIAL HOSPITAL

Practice address

1425 Grant St
Huntington, IN 46750-3121

Phone

(260) 356-4867

Fax

(260) 359-9087

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Ring

Title

President/Ceo

Phone

(765) 521-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hickory Creek at Huntington Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Skilled nursing facility certification: CCN 155543

Legal name

HENRY COUNTY MEMORIAL HOSPITAL

Doing business as

HICKORY CREEK AT HUNTINGTON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1995

Last certification

Mar 7, 2025

Beds

36

Ownership / control type

Corporation

Multi-facility organization

Henry County Memorial Hospital

Organization structure

GovernmentNon-profit

Enrollment address

1425 Grant St
Huntington, IN 46750-3121

Nursing home name

HICKORY CREEK AT HUNTINGTON

Affiliated entity

AMERICAN SENIOR COMMUNITIES

Listed as

Hickory Creek at HuntingtonCCN 155543

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3633.7 residents per day on average

Chain

American Senior Communities90 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Henry Co Mem Hosp47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1003853557
  NPD tax ID
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Connersville, IN
  • NPI 1013946979
  NPD tax ID
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Scottsburg, IN
  • NPI 1033148820
  NPD tax ID
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053340919
  NPD tax ID
• Henry County Memorial Hospital

  • Family Medicine Physician
  • Spiceland, IN
  • NPI 1083872840
  NPD tax ID
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Madison, IN
  • NPI 1104855980
  NPD tax ID
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • New Castle, IN
  • NPI 1124399910
  NPD tax ID
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1134489339
  NPD tax ID
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Peru, IN
  • NPI 1164451944
  NPD tax ID
• Henry County Memorial Hospital

  • Rural Health Clinic/Center
  • New Castle, IN
  • NPI 1164949947
  NPD tax ID
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • New Castle, IN
  • NPI 1225397417
  NPD tax ID
• Henry County Memorial Hospital

  • Family Medicine Physician
  • New Castle, IN
  • NPI 1295159101
  NPD tax ID

All disclosed owners & managing parties 27

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

Owners & managing parties with NPI records 1

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

• Pekkakuzhiyil M Mathew, M.D.

  • Internal Medicine Physician
  • Bluffton, IN
  • NPI 1578507539

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 39

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

Facilities with the same owner 116

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

• Anew Home Health, LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1003342882

  American Senior Communities LLC

  CMS ownership
• Anew Hospice Ft Wayne LLC

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
  • NPI 1902593882

  American Senior Communities LLC

  CMS ownership
• Anew Hospice LLC

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1538540638

  American Senior Communities LLC

  CMS ownership
• Hendricks County Hospital

  • Skilled Nursing Facility
  • Greencastle, IN
  • NPI 1659300440

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1003853557

  Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Connersville, IN
  • NPI 1013946979

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Scottsburg, IN
  • NPI 1033148820

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053340919

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Madison, IN
  • NPI 1104855980

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • New Castle, IN
  • NPI 1124399910

  Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Peru, IN
  • NPI 1164451944

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  • Rural Health Clinic/Center
  • New Castle, IN
  • NPI 1164949947

  Henry County Memorial Hospital

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pekkakuzhiyil M Mathew, M.D.

  • Internal Medicine Physician
  • Bluffton, IN
  • NPI 1578507539

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1528097391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 E. 82ND ST.",
            "address_2": "SUITE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501562",
            "telephone_number": "317-570-0266",
            "fax_number": "317-570-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 GRANT ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467503121",
            "telephone_number": "260-356-4867",
            "fax_number": "260-359-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-521-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-000346-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Creek at Huntington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hickory Creek at Huntington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rene Harrell
• Joel Harris
• Ryan T Hart, DMD
• Jessica Leigh Hatcher, MA
• Hayley Hearn
• Henry County Memorial Hospital
• Kellie Louise Herber, M.A
• Benjamin Jay Herman, D.C.
• Sally Eileen Herman, MSW
• Shelby Hiner

• All providers in Huntington, IN
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.