NPIMap

Organization Active NPI

Jackson County Schneck Memorial Hospital

Doing business as Lutheran Community Home

  • Skilled Nursing Facility
  • Seymour, IN
National Provider Identifier
1609139401
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
Lutheran Community Home
Practice address
111 Church Ave
Seymour, IN 47274-3621
Phone
(812) 522-5927
NPI assigned
Jun 18, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Warren Forgey
Title
Chief Financial Officer
Phone
(812) 522-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

111 Church Ave
Seymour, IN 47274-3621

Mailing address

411 W Tipton St
Seymour, IN 47274-2363

Other identifiers 1

IdentifierTypeStateIssuer
100275440MedicaidIN

Other names 1

  • Lutheran Community Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120730000657 IN Part A Provider - Skilled Nursing Facility 8224004585 Practice locations: Seymour, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609139401. Details of each certification follow.

Skilled nursing facility certification: CCN 155715

Legal name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
LUTHERAN COMMUNITY HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 7, 2003
Last certification
Sep 13, 2024
Beds
140 (95 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Jackson County Schneck Memorial Hospital
Organization structure
OtherNon-profit
Enrollment address
111 West Church Ave
Seymour, IN 47274-3621
Nursing home name
LUTHERAN COMMUNITY HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lutheran Community HomeCCN 155715 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 7, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9576.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Memorial34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

111 Church Ave
Seymour, IN 47274
Phone (812) 216-9101

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Karyn I Fleetwood Individual Operational/Managerial Control Apr 20, 2007
Adp of the SNF Apr 20, 2007
Jack L McCory Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Rick L Smith Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Andrew B Markel Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Roger L Pollert Individual Operational/Managerial Control Dec 16, 2021
Adp of the SNF Dec 16, 2021
Courtney B Kleber Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Louis Voelker Individual Operational/Managerial Control Apr 1, 1994
Adp of the SNF Apr 1, 1994
Deborah a Mann Individual Operational/Managerial Control Feb 10, 2014
Managing Control - Governing BodyVP Finance/Cfo Feb 10, 2014
Matthew P Jung Individual Operational/Managerial Control Oct 28, 2018
Adp of the SNF Oct 28, 2018
Matthew K Reedy Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Neil S Hill Individual Operational/Managerial Control Aug 9, 2018
Adp of the SNF Aug 9, 2018
Gary a Meyer Individual Operational/Managerial Control Apr 23, 2017
Adp of the SNF Apr 23, 2017
Terrence L Gilliland Individual Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Susan D Bevers Individual Managing Control - Governing BodyBoard of Trustees Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Priscilla Wischmeier Individual Operational/Managerial Control Apr 23, 2017
Adp of the SNF Apr 23, 2017
Erin Rothert Individual Operational/Managerial Control Aug 24, 2023
Adp of the SNF Aug 24, 2023
Eric D Fish Individual Operational/Managerial Control Sep 1, 2020
Managing Control - Governing BodyPresident and Ceo Sep 1, 2020
Lutheran Community Home, Inc. Organization, Seymour, IN Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2012 100%
Operational/Managerial Control Jul 1, 2012
Adp of the SNF Jul 1, 2012
Henry Wischmeier Individual Operational/Managerial Control Mar 26, 2015
Adp of the SNF Mar 26, 2015
John Nolting Individual Operational/Managerial Control Oct 25, 2012
Adp of the SNF Oct 25, 2012
Roger D Wischmeier Individual Operational/Managerial Control Jun 24, 2022
Adp of the SNF Jun 24, 2022
Galen Krumme Individual Operational/Managerial Control Apr 1, 1996
Adp of the SNF Apr 1, 1996
Susan D Schnitker Individual Operational/Managerial Control Apr 22, 2007
Adp of the SNF Apr 22, 2007
Brandon J Harpe Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Jackson County Schneck Memorial Hospital Organization, Seymour, IN Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2012 100%
Operational/Managerial Control Jul 1, 2012 100%
Anita R Carter Individual Operational/Managerial Control Sep 27, 1999
Adp of the SNF Sep 27, 1999
Max Pollert Individual Operational/Managerial Control Apr 24, 2014
Adp of the SNF Apr 24, 2014
Marc Storey Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025

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 17

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

FacilityTypeRoleSince
Schneck Medical CenterSeymour, IN, CCN 150065 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Schneck Medical CenterSeymour, IN, CCN 15U065 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1966
Hoosier Health & Living CommunityBrownstown, IN, CCN 155611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Signature Healthcare of MuncieMuncie, IN, CCN 155242 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 May 1, 2013
May 1, 2013
Oct 3, 2025
Signature Healthcare at ParkwoodLebanon, IN, CCN 155378 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
Signature Healthcare of Terre HauteTerre Haute, IN, CCN 155426 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
Crown Point Health CampusCrown Point, IN, CCN 155637 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Majestic Care of NewburghNewburgh, IN, CCN 155670 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Majestic Care of LafayetteLafayette, IN, CCN 155243 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Chateau Rehabilitation and Healthcare CenterFort Wayne, IN, CCN 155249 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Majestic Care of South BendSouth Bend, IN, CCN 155219 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)		 Aug 1, 2013
Aug 1, 2013
Bertha D Garten Ketcham Memorial CenterOdon, IN, CCN 155539 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 2, 2013
May 19, 2025
Signature Healthcare of BremenBremen, IN, CCN 155474 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 May 1, 2014
May 1, 2014
Sep 26, 2025
Covered Bridge Health CampusSeymour, IN, CCN 155712 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Stonebridge Health CampusBedford, IN, CCN 155727 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Schneck Medical Center Home Health CareSeymour, IN, CCN 157155 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1940
Schneck Medical Center HospiceSeymour, IN, CCN 151529 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1940

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1609139401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH AVE",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743621",
            "telephone_number": "812-522-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "FORGEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "812-522-2349"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.