Active NPI
Adams County Memorial Hospital
Doing business as Sanctuary at Saint Pauls
- Skilled Nursing Facility
- South Bend, IN
National Provider Identifier
1609869064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060001041
- Legal business name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Doing business as
- Sanctuary at Saint Pauls
- Practice address
- 3602 S Ironwood Dr
South Bend, IN 46614-2453 - Phone
- (574) 299-2250
- Fax
- (574) 291-0858
- NPI assigned
- Aug 31, 2005
- Last updated
- Jun 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Sprunger
- Title
- Cfo/Treasurer
- Phone
- (260) 724-2145
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 060001041 | IN | |
| Skilled Nursing Facility | 314000000X | 060001041 | IN | Primary |
Addresses
Primary practice location
3602 S Ironwood Dr
South Bend, IN 46614-2453
Mailing address
1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100266590A | Medicaid | IN |
Other names 1
- Sanctuary at Saint Pauls
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cloverleaf of Knightsville
- Skilled Nursing Facility
- Knightsville, IN
- NPI 1659454148
Member Of
-
dba Fraser Villa
- Skilled Nursing Facility
- Fraser, MI
- NPI 1467546655
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781049600000",
"number": "1609869064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MERCER AVE",
"city": "DECATUR",
"state": "IN",
"postal_code": "467332303",
"telephone_number": "260-724-2145",
"fax_number": "260-728-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 S IRONWOOD DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466142453",
"telephone_number": "574-299-2250",
"fax_number": "574-291-0858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAMS COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-31",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A",
"authorized_official_last_name": "SPRUNGER",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "CFO/TREASURER",
"authorized_official_telephone_number": "260-724-2145"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IN",
"license": "060001041",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "060001041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100266590A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanctuary at Saint Pauls",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Bend, IN
- Acoustic Audio Services of Michiana, Inc.
- Active Health and Wellness Center
- Acupuncture-Wellbeing, LLC
- Prashanti Adabala, MSW
- Trenton Anthony Adair, RBT
- Adams County Memorial Hospital (Holy Cross Rehabilitation and Wellness)
- Shelby Elizabeth Adams-Elkins
- Allyson Adams, BCBA
- Jeneva D. Adams, MS
- Naomi Adams, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.