Hendricks County Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

04-000118-1 Issued in IN

Legal business name

HENDRICKS COUNTY HOSPITAL

Doing business as

The Waters of Lebanon

Practice address

1585 Perry Worth Road
Lebanon, IN 46052-9635

Phone

(765) 482-6391

Fax

(765) 483-2590

NPI assigned

Oct 10, 2005

Last updated

Apr 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Speer

Title

Ceo/President

Phone

(317) 745-4451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Waters of Lebanon Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659369072. Details of each certification follow.

• CCN 155211 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155211

Legal name

HENDRICKS COUNTY HOSPITAL

Doing business as

THE WATERS OF LEBANON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 22, 1983

Last certification

Sep 12, 2024

Beds

64

Ownership / control type

Corporation

Multi-facility organization

Infinity Healthcare

Organization structure

OtherNon-profit

Incorporated

Aug 15, 2012 in IN

Enrollment address

1585 Perry Worth Rd
Lebanon, IN 46052-9635

Nursing home name

WATERS OF LEBANON, THE

Affiliated entity

INFINITY HEALTHCARE CONSULTING

Listed as

Waters of Lebanon, theCCN 155211 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 22, 1983

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6442.2 residents per day on average

Chain

Infinity Healthcare Consulting69 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Indiana Adult Pediatr110 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Hendricks Community Hospital

  dba Brownsburg Wellness Center

  • Corporate Health Clinic/Center
  • Brownsburg, IN
  • NPI 1508198409
  NPD tax ID
• Hendricks Community Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Brownsburg, IN
  • NPI 1700244779
  NPD tax ID
• Hendricks County Hospital

  dba HRH Associate Health

  • General Practice Physician
  • Danville, IN
  • NPI 1497536163
  NPD tax ID
• Hendricks County Hospital

  dba Hendricks Health Access Center

  • Family Medicine Physician
  • Avon, IN
  • NPI 1508683061
  NPD tax ID
• Hendricks County Hospital

  dba Plainfield Health Care Center

  • Skilled Nursing Facility
  • Plainfield, IN
  • NPI 1508803099
  NPD tax ID
• Hendricks County Hospital

  dba Brickyard Healthcare - Richmond Care Center

  • Skilled Nursing Facility
  • Richmond, IN
  • NPI 1508812454
  NPD tax ID
• Hendricks County Hospital

  dba The Woodlands

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1528015641
  NPD tax ID
• Hendricks County Hospital

  dba Avon Ophthalmology

  • Ophthalmology Physician
  • Avon, IN
  • NPI 1558567073
  NPD tax ID
• Hendricks County Hospital

  dba Heritage Healthcare

  • Skilled Nursing Facility
  • West Lafayette, IN
  • NPI 1588611479
  NPD tax ID
• Hendricks County Hospital

  dba Avon Family Health

  • Family Medicine Physician
  • Avon, IN
  • NPI 1598993784
  NPD tax ID
• Hendricks County Hospital

  dba Hendricks Endocrinology and Diabetes Specialist

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, IN
  • NPI 1649432444
  NPD tax ID
• Hendricks County Hospital

  dba Hendricks Regional Health Greencastle Physical Therapy

  • Physical Therapy Clinic/Center
  • Greencastle, IN
  • NPI 1659025856
  NPD tax ID

Member of 1

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

• Henry County Memorial Hospital

  dba Good Samaritan Home & Rehabilitation Center

  • Skilled Nursing Facility
  • Oakland City, IN
  • NPI 1801871082

  Member Of

  NPD member

All disclosed owners & managing parties 9

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 2

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

• Deanna M Fenoughty, M.D.

  • Obstetrics & Gynecology Physician
  • Avon, IN
  • NPI 1245218908

  Corporate Officer

  CMS ownership
• Mark E Gentry, MD

  • Obstetrics & Gynecology Physician
  • Danville, IN
  • NPI 1144260191

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 46

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

Facilities with the same owner 45

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

• Hendricks County Hospital

  dba Westside Retirement Village

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1033166871

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Hamilton Trace of Fishers

  • Skilled Nursing Facility
  • Fishers, IN
  • NPI 1033416243

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Valparaiso Care Center

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1053599688

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Castleton Health Care Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1063409498

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba 'Brickyard Healthcare - Brandywine Care Center '

  • Skilled Nursing Facility
  • Greenfield, IN
  • NPI 1063468676

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Green Valley Care Center

  • Skilled Nursing Facility
  • New Albany, IN
  • NPI 1063469930

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Muncie Care Center

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1063682896

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Parkview Care Center

  • Skilled Nursing Facility
  • Evansville, IN
  • NPI 1093762155

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - LaPorte Care Center

  • Skilled Nursing Facility
  • La Porte, IN
  • NPI 1093985814

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Golden Rule Care Center

  • Skilled Nursing Facility
  • Richmond, IN
  • NPI 1124070339

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Woodbridge Care Center

  • Skilled Nursing Facility
  • Evansville, IN
  • NPI 1124070347

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Life Care Center of Willows

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1194772087

  Hendricks County Hospital

  CMS ownership

Affiliated clinicians 1

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

• Sheryar Sarwar, MD

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1730426958

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1659369072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 PERRY WORTH ROAD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460529635",
            "telephone_number": "765-482-6391",
            "fax_number": "765-483-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 PERRY WORTH ROAD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460529635",
            "telephone_number": "765-482-6391",
            "fax_number": "765-483-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "317-745-4451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "04-000118-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waters of Lebanon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Letitia V Haywood, LCSW
• Nyquelia Headen, RBT
• Cody Lee Hedrick
• Brandon J Heeger, DO
• Nicholas Helderman, OD
• Thomas W Heniff, M.D.
• Heritage Home Health Services of Indiana LLC
• Heritage Home Health Services of Indiana LLC (.Excel Home Health Care, LLC)
• Heritage Senior Care LLC
• Raegan N Hiatt, RBT

• Skilled Nursing Facility in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.