Organization Active NPI

Henry County Memorial Hospital

Doing business as Heritage House Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Connersville, IN
National Provider Identifier
1649279258
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
352138501 Issued in IN
Legal business name
HENRY COUNTY MEMORIAL HOSPITAL
Doing business as
Heritage House Rehabilitation & Health Care Center
Practice address
281 South County Road 200 East
Connersville, IN 47331-8220
Phone
(765) 825-2148
Fax
(765) 827-5926
NPI assigned
Jul 15, 2005
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Mr. Steve Van Camp, CPA
Title
Ceo of ASC
Phone
(317) 788-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 352138501 IN Primary

Addresses

Primary practice location

281 South County Road 200 East
Connersville, IN 47331-8220

Mailing address

281 S County Road 200 E
Connersville, IN 47331-8220
Phone (765) 825-2148

Other identifiers 1

IdentifierTypeStateIssuer
100267670DMedicaidIN

Other names 1

  • Heritage House Rehabilitation & Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230329002725 IN Part A Provider - Skilled Nursing Facility 6002724085 Practice locations: Connersville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649279258. Details of each certification follow.

Skilled nursing facility certification: CCN 155332

Legal name
HENRY COUNTY MEMORIAL HOSPITAL
Doing business as
HERITAGE HOUSE REHABILITATION & HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 26, 1989
Last certification
Jan 27, 2025
Beds
98
Ownership / control type
County
Multi-facility organization
Henry County Hospital Corp
Organization structure
GovernmentNon-profit
Enrollment address
281 S County Road 200 E
Connersville, IN 47331-8220
Nursing home name
HERITAGE HOUSE REHABILITATION & HEALTH CARE CENTER
Affiliated entity
AMERICAN SENIOR COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage House Rehabilitation & Health Care CenterCCN 155332 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Apr 26, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9884.0 residents per day on average
Chain
American Senior Communities90 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
15D0360200Henry County Memorial Hospital Dba Heritage281 S County Rd 200 E, Connersville, IN 47331Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Henry County Memorial Hospital47 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.

View all 46

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
John D Pidgeon Individual Managing Control - Governing BodyBoard Member Jan 1, 2013
Trustee of the SNF Jan 1, 2013
Marwan Mustaklem Individual Operational/Managerial Control Oct 1, 2022
Adp of the SNF Mar 19, 2025
Mark Jackson Individual Managing Control - Governing BodyManager Oct 1, 2022
Organization, Indianapolis, IN LLC Adp of the SNF Mar 19, 2025
Michael L Jackson Individual Managing Control - Governing BodyManager May 14, 2024
Marion E Shore Individual Managing Control - Governing BodyBoard Member Jan 1, 2013
Trustee of the SNF Jan 1, 2013
Brian Ring Individual Corporate OfficerPresident and Ceo Aug 1, 2022
Operational/Managerial Control Aug 1, 2022
Stacey Ware Individual Operational/Managerial Control Oct 1, 2022
Adp of the SNF Mar 24, 2025
Blake Jackson Individual Managing Control - Governing BodyManager Oct 1, 2022
Donna Kelsey Individual Managing Control - Governing BodyManager Jul 18, 2024
Wessley Jackson Individual Managing Control - Governing BodyManager Oct 1, 2022
Steven Van Camp Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Mark Dice Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Ethan I Jackson Individual Managing Control - Governing BodyManager Oct 1, 2022
Stephen Stitle Individual Managing Control - Governing BodyManager Oct 1, 2022
Henry County Memorial Hospital Organization, New Castle, IN 5% Or Greater Direct Ownership Interest Oct 1, 2022 100%
Adp of the SNF Apr 27, 2025
Sherri L Rybolt Individual Operational/Managerial Control Oct 1, 2022
Theressa Wright Individual Managing Control - Governing BodyManager Oct 1, 2022
Deborah Ware Individual Managing Control - Governing BodyBoard Member Aug 27, 2021
Trustee of the SNF Aug 27, 2021
Steven Chies Individual Managing Control - Governing BodyManager Oct 1, 2022
Andrew Shane Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
American Senior Communities LLC Organization, Indianapolis, IN LLC, Management services company Operational/Managerial Control Oct 1, 2022 100%
Adp of the SNF Mar 19, 2025
David Justice Individual Managing Control - Governing BodyManager Oct 1, 2022
Sheldon L Dynes Individual Managing Control - Governing BodyBoard Member Jan 1, 2013
Trustee of the SNF Jan 1, 2013

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 39

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

FacilityTypeRoleSince
Ascension St Vincent Heart CenterCarmel, IN, CCN 150153 Hospital Other (1%) Jul 1, 2017
Willows of RichmondRichmond, IN, CCN 155228 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Willows of New CastleNew Castle, IN, CCN 155089 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Mulberry Health & Rehabilitation CenterMulberry, IN, CCN 155600 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013
Hickory Creek at CrawfordsvilleCrawfordsville, IN, CCN 155419 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2013
May 7, 2025
Hickory Creek at FranklinFranklin, IN, CCN 155442 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2013
Apr 27, 2025
Hickory Creek at PeruPeru, IN, CCN 155406 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2013
Apr 27, 2025
Hickory Creek at ScottsburgScottsburg, IN, CCN 155417 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2013
Apr 29, 2025
Hickory Creek at New CastleNew Castle, IN, CCN 155459 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2013
May 7, 2025
The Waters of MuncieMuncie, IN, CCN 155443 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2013
Hickory Creek at GreensburgGreensburg, IN, CCN 155353 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Hickory Creek at MadisonMadison, IN, CCN 155427 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2013
Apr 27, 2025
Hickory Creek at ColumbusColumbus, IN, CCN 155424 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2013
May 7, 2025
Hickory Creek at ConnersvilleConnersville, IN, CCN 155434 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Hickory Creek at HuntingtonHuntington, IN, CCN 155543 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2013
May 7, 2025
Bethel ManorEvansville, IN, CCN 155607 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Clinton House Rehabilitation and Healthcare CenterFrankfort, IN, CCN 155295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jul 1, 2014
Jun 3, 2025
Alpha Home-a Waters CommunityIndianapolis, IN, CCN 155717 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
Lakeland Rehab and Healthcare CenterAngola, IN, CCN 155596 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
University Park Rehabilitation and Healthcare CenterFort Wayne, IN, CCN 155567 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
Aspen Place Health CampusGreensburg, IN, CCN 155797 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Silver Oaks Health CampusColumbus, IN, CCN 155693 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Glen Oaks Health CampusNew Castle, IN, CCN 155759 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Forest Park Health CampusRichmond, IN, CCN 155762 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
The Springs of RichmondRichmond, IN, CCN 155843 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2019
The Waters of New CastleNew Castle, IN, CCN 155304 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Markle Health & RehabilitationMarkle, IN, CCN 155673 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Feb 1, 2022
May 7, 2025
Stonebrooke Rehabilitation CenterNew Castle, IN, CCN 155160 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 2023
May 7, 2025
Bethany VillageIndianapolis, IN, CCN 155237 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 2023
Apr 28, 2025
Good Samaritan Home & Rehab CenterOakland City, IN, CCN 155561 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jun 1, 2023
Apr 29, 2025
Evansville Protestant HomeEvansville, IN, CCN 155768 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Fairway VillageIndianapolis, IN, CCN 155741 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024
HCMH Home CareNew Castle, IN, CCN 157430 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
Henry County Memorial Hospital HospiceNew Castle, IN, CCN 151564 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
New Castle PediatricsNew Castle, IN, CCN 153863 Rural health clinic 5% Or Greater Direct Ownership Interest Aug 2, 2003
New Castle Family and Internal MedicineNew Castle, IN, CCN 158520 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2011
New Castle Family & Internal Medicine at Northfield ParkNew Castle, IN, CCN 158525 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 28, 2017
Cambridge City Family Health PartnersCambridge City, IN, CCN 158556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 17, 2020
Middletown Family Health PartnersMiddletown, IN, CCN 158589 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 4, 2023

Facilities with the same owner 116

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

View all 116

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1649279258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 S COUNTY ROAD 200 E",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318220",
            "telephone_number": "765-825-2148",
            "fax_number": "765-827-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SOUTH COUNTY ROAD 200 EAST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318220",
            "telephone_number": "765-825-2148",
            "fax_number": "765-827-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "VAN CAMP",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO OF ASC",
        "authorized_official_telephone_number": "317-788-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "352138501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267670D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage House Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.