NPIMap

Organization Active NPI

Margaret Mary Community Hospital, Inc.

Doing business as Margaret Mary Health Hospice

  • Community Based Hospice Care Agency
  • Batesville, IN
National Provider Identifier
1639398688
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MARGARET MARY COMMUNITY HOSPITAL, INC.
Doing business as
Margaret Mary Health Hospice
Practice address
321 Mitchell Ave
Batesville, IN 47006-8909
Phone
(812) 933-5125
Fax
(812) 933-5108
NPI assigned
Apr 25, 2007
Reactivated
Feb 26, 2020
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Mr. Brian Daeger
Title
Cfo
Phone
(812) 934-6624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

321 Mitchell Ave
Batesville, IN 47006-8909

Mailing address

321 Mitchell Ave
PO Box 226 Homecare
Batesville, IN 47006-8909
Phone (812) 933-5125

Other identifiers 1

IdentifierTypeStateIssuer
200142650AMedicaidIN

Other names 1

  • Margaret Mary Health Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021001797 IN Part A Provider - Hospice 5193714335 Practice locations: Batesville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639398688. Details of each certification follow.

Hospice certification: CCN 151551

Legal name
MARGARET MARY COMMUNITY HOSPITAL INC
Doing business as
MARGARET MARY HEALTH HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 1, 1996
Last certification
Feb 12, 2021
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Apr 27, 1967 in IN
Enrollment address
321 Mitchell Ave
Batesville, IN 47006-8909

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Margaret Mary Health HospiceCCN 151551 · All quality measures
Ownership
Non-Profit
Certified
Jul 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Osgood Primary Care8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Michelle M Biltz Individual Corporate OfficerChief of Staff Jan 1, 2022
W-2 Managing EmployeeChief of Staff Jan 1, 2022
Arnold a Kirschner Individual Corporate DirectorBoard Director Jan 1, 2017
Mary Ann C Wise-Castner Individual Corporate DirectorBoard Secretary Jan 1, 1991
Kristina Cerniglia Individual Corporate DirectorBoard Director Jan 1, 2019
Charles E McGovern Individual Corporate DirectorBoard Director Jan 1, 2019
Elizabeth a Leising Individual Corporate OfficerInterim Ceo Jan 1, 2016
W-2 Managing EmployeeInterim Ceo Jan 1, 2016
Lea Ann King Individual Corporate DirectorBoard Director Jan 1, 2019
Julie a Keene Individual Corporate OfficerVP of Physician Services Dec 1, 2010
Jorge C Lopez Individual Corporate DirectorBoard Director Jan 1, 2017
Margaret Mary Community Hospital Inc Organization, Batesville, IN Non-profit 5% Or Greater Direct Ownership Interest Aug 11, 1995 5%
Thomas H Ziemke Individual Corporate DirectorBoard Vice-Chairman Jan 1, 2016
George E Junker Individual Corporate OfficerBoard Chairman Jan 1, 2007
Brian Daeger Individual Corporate DirectorCoo Jan 1, 1997
Diane C Jamison Individual Corporate DirectorBoard Director Jan 1, 2017
Craig a Polkow Individual Corporate OfficerCfo and VP of Financial Services Jan 1, 2020
W-2 Managing EmployeeCfo and VP of Financial Services Jan 1, 2020
Joe Moorman Individual Corporate DirectorBoard Director Jan 1, 2021
Kimberly a Inscho Individual Corporate OfficerVP of HR & Marketing Feb 1, 2003
Ronald J Knueven Individual Corporate OfficerBoard Treasurer May 1, 2002
Jeff Ollier Individual Corporate DirectorBoard Director Jan 1, 2021
Devan Reuss Individual Corporate OfficerInterim Cno Jan 1, 2021
W-2 Managing EmployeeInterim Cno Jan 1, 2021

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Margaret Mary HealthBatesville, IN, CCN 151329 Hospital 5% Or Greater Direct Ownership Interest (5%) Jan 1, 2008
Margaret Mary HealthBatesville, IN, CCN 15Z329 Hospital 5% Or Greater Direct Ownership Interest (5%) Jun 1, 2020
Suburban Home Health, LLCNoblesville, IN, CCN 157092 Home health agency 5% Or Greater Indirect Ownership Interest (5.5%) Sep 3, 2024
Suburban HospiceNoblesville, IN, CCN 151547 Hospice 5% Or Greater Indirect Ownership Interest (5.5%) Nov 1, 2024
Osgood Primary CareOsgood, IN, CCN 158511 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Margaret Mary Medical Arts CenterBatesville, IN, CCN 158567 Rural health clinic 5% Or Greater Direct Ownership Interest (5%) Jan 1, 2022

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1639398688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MITCHELL AVE",
            "address_2": "PO BOX 226 HOMECARE",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068909",
            "telephone_number": "812-933-5125",
            "fax_number": "812-933-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MITCHELL AVE",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068909",
            "telephone_number": "812-933-5125",
            "fax_number": "812-933-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET MARY COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "deactivation_date": "2020-02-04",
        "reactivation_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "DAEGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-934-6624",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200142650A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margaret Mary Health Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Margaret Mary Health Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.