Johnson Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

06-000196-1 Issued in IN

Legal business name

JOHNSON MEMORIAL HOSPITAL

Doing business as

Miller's Merry Manor

Practice address

5909 Lute Rd
Portage, IN 46368-4824

Phone

(219) 763-2273

Fax

(219) 764-0170

NPI assigned

Jul 26, 2006

Last updated

Jan 27, 2022By 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. Steven J Berkhouse

Title

Cfo

Phone

(317) 736-7939

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Miller's Merry Manor 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 1669495008. Details of each certification follow.

• CCN 155299 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155299

Legal name

JOHNSON MEMORIAL HOSPITAL

Doing business as

MILLER'S MERRY MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jun 18, 1987

Last certification

Jan 10, 2025

Beds

66

Ownership / control type

Corporation

Multi-facility organization

Miller's Health Systems

Organization structure

GovernmentNon-profit

Enrollment address

5909 Lute Rd
Portage, IN 46368-4824

Nursing home name

MILLER'S MERRY MANOR

Affiliated entity

MILLER'S MERRY MANOR

Listed as

Miller's Merry ManorCCN 155299 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 18, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6652.1 residents per day on average

Chain

Miller's Merry Manor14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Johnson Memorial Immedi37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

• Johnson Memorial Hospital

  dba The Waters of Sullivan Skilled Nursing Facility

  • Skilled Nursing Facility
  • Sullivan, IN
  • NPI 1003838194
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Syracuse Skilled Nursing Facility

  • Skilled Nursing Facility
  • Syracuse, IN
  • NPI 1023031465
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Fort Wayne Skilled Nursing Facility

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1033132477
  NPD tax ID
• Johnson Memorial Hospital

  dba Compass Park

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053301259
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Castleton Skilled Nursing Facility

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1114940558
  NPD tax ID
• Johnson Memorial Hospital

  dba Miller's Merry Manor

  • Skilled Nursing Facility
  • Warsaw, IN
  • NPI 1114947686
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Rushville Skilled Nursing Facility

  • Skilled Nursing Facility
  • Rushville, IN
  • NPI 1134142573
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Wabash Skilled Nursing Facility West

  • Skilled Nursing Facility
  • Wabash, IN
  • NPI 1144236415
  NPD tax ID
• Johnson Memorial Hospital

  dba Miller's at Oak Pointe

  • Skilled Nursing Facility
  • Columbia City, IN
  • NPI 1144627977
  NPD tax ID
• Johnson Memorial Hospital

  dba Miller's Merry Manor

  • Skilled Nursing Facility
  • Hope, IN
  • NPI 1194747287
  NPD tax ID
• Johnson Memorial Hospital

  dba Millers Merry Manor

  • Skilled Nursing Facility
  • Marion, IN
  • NPI 1215111067
  NPD tax ID
• Johnson Memorial Hospital

  dba The Waters of Wabash Skilled Nursing Facility East

  • Skilled Nursing Facility
  • Wabash, IN
  • NPI 1235150376
  NPD tax ID

All disclosed owners & managing parties 14

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 4

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

• David H Dunkle, MD

  • Family Medicine Physician
  • Franklin, IN
  • NPI 1053468041

  Corporate Director, Corporate Officer, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Sanjay V Raikar, MD

  • Hospitalist Physician
  • Michigan City, IN
  • NPI 1780990283

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Tina Robinson, MA,CCC-SLP

  • Speech-Language Pathologist
  • Fishers, IN
  • NPI 1598369639

  Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Theracare Inc.

  dba Tots

  • Rehabilitation Clinic/Center
  • Fishers, IN
  • NPI 1023052339

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 34

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

Facilities with the same owner 112

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

• Adams County Memorial Hospital

  dba The Cedars

  • Skilled Nursing Facility
  • Leo, IN
  • NPI 1023003118

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba Lutheran Life Villages (Anthony)

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1073554200

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba Lutheran Life Villages

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1134493281

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba Chalet Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1144253451

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba Lutheran Life Villages (Kendallville)

  • Skilled Nursing Facility
  • Kendallville, IN
  • NPI 1154362390

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba adams Woodcrest

  • Nursing Facility/Intermediate Care Facility
  • Decatur, IN
  • NPI 1356476154

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba Northwest Manor Health Care Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1376531681

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba Christian Care Retirement Community

  • Skilled Nursing Facility
  • Bluffton, IN
  • NPI 1447231832

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba adams Heritage

  • Nursing Facility/Intermediate Care Facility
  • Monroeville, IN
  • NPI 1760519268

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba Heritage Pointe of Fort Wayne

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1801205240

  Forvis Mazars LLP

  CMS ownership
• Adams County Memorial Hospital

  dba Saint Anne home

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1821092347

  Forvis Mazars LLP

  CMS ownership
• Daviess County Hospital

  dba Beaumont Rehabilitation

  • Skilled Nursing Facility
  • Anderson, IN
  • NPI 1891165536

  Forvis Mazars LLP

  CMS ownership

Affiliated clinicians 1

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

• Sanjay V Raikar, MD

  • Hospitalist Physician
  • Michigan City, IN
  • NPI 1780990283

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1669495008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312140",
            "telephone_number": "317-736-7549",
            "fax_number": "317-736-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 LUTE RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684824",
            "telephone_number": "219-763-2273",
            "fax_number": "219-764-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "BERKHOUSE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-736-7939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "06-000196-1",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267390A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller's Merry Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miller's Merry Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob's Ladder First Steps Program (Jacob's Ladder Pediatric Rehab Center)
• David Scott Jardenil, D.D.S.
• Jeffrey R Robertson Inc
• Katherine J Jeffries
• Jasmine Jeronimo
• John Bernard Johnson III, D.D.S.
• Julie A Johnson, PTA
• Melissa Johnson
• Stephanie D Joly, D.D.S
• Dana Dawnielle Jones, MD

• Skilled Nursing Facility in Portage, IN
• Providers in Portage, 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 Jan 27, 2022; 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.