NPIMap

Organization Active NPI

Hendricks County Hospital

Doing business as Brickyard Healthcare - Fountainview Care Center

  • Skilled Nursing Facility
  • Mishawaka, IN
National Provider Identifier
1669650297
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HENDRICKS COUNTY HOSPITAL
Doing business as
Brickyard Healthcare - Fountainview Care Center
Practice address
609 Tanglewood LN
Mishawaka, IN 46545-2625
Phone
(574) 277-2500
NPI assigned
Feb 6, 2008
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Kevin P Speer
Title
President/Ceo
Phone
(317) 745-4451

Specialties & licenses 1

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

Addresses

Primary practice location

609 Tanglewood LN
Mishawaka, IN 46545-2625

Mailing address

609 Tanglewood LN
Mishawaka, IN 46545-2625

Other identifiers 1

IdentifierTypeStateIssuer
100290310MedicaidIN

Other names 1

  • Brickyard Healthcare - Fountainview Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140416000525 CA Part A Provider - Skilled Nursing Facility 4880505528 Practice locations: Mishawaka, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669650297. Details of each certification follow.

Skilled nursing facility certification: CCN 155178

Legal name
HENDRICKS COUNTY HOSPITAL
Doing business as
BRICKYARD HEALTHCARE - FOUNTAINVIEW CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 11, 1977
Last certification
May 27, 2025
Beds
130
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Brickyard Healthcare
Most recent change of ownership
Sep 1, 2012
Organization structure
OtherNon-profit
Incorporated
in IN
Enrollment address
609 Tanglewood LN
Mishawaka, IN 46545-2625
Nursing home name
BRICKYARD HEALTHCARE - FOUNTAINVIEW CARE CENTER
Affiliated entity
BRICKYARD HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brickyard Healthcare - Fountainview Care CenterCCN 155178 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 11, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13096.1 residents per day on average
Chain
Brickyard Healthcare23 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
15D0663336Brickyard Healthcare - Fountainview Care Center609 W Tanglewood LN, Mishawaka, IN 46545Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
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.

View all 24

Ownership & related parties

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.

NameRoleSinceShare
Christopher a Gill Individual Contracted Managing EmployeeAdministrator Dec 13, 2021
Timothy a Whicker Individual Corporate DirectorBoard Member Jan 12, 2022
Deanna M Fenoughty Individual Corporate OfficerPresident and Ceo Jul 10, 2023
Erin M Engels Individual Corporate DirectorBoard Member Oct 22, 2012
John Waite Individual Corporate OfficerVice Chair Aug 1, 2020
Hendricks County Hospital Organization, Danville, IN 5% Or Greater Direct Ownership Interest Sep 1, 2012 100%
Mark Edward Gentry Individual Corporate DirectorBoard Member Jan 12, 2022
Tyler Starkey Individual Corporate OfficerSecretary Aug 1, 2020
Fountainview Mishawaka Operating LLC Organization, Plano, TX LLC Operational/Managerial Control Sep 1, 2012

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 46

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

FacilityTypeRoleSince
Hendricks Regional HealthDanville, IN, CCN 150005 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Laporte Care CenterLa Porte, IN, CCN 155062 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Churchman Care CenterIndianapolis, IN, CCN 155138 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Bloomington Care CenterBloomington, IN, CCN 155278 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brookview Care CenterIndianapolis, IN, CCN 155076 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Sycamore Village Care CenterKokomo, IN, CCN 155367 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Valparaiso Care CenterValparaiso, IN, CCN 155137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Twelfth Street Care CenterMishawaka, IN, CCN 155109 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Merrillville Care CenterMerrillville, IN, CCN 155362 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodbridge Care CenterEvansville, IN, CCN 155390 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Portage Care CenterPortage, IN, CCN 155187 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Lincoln Hills Care CenterTell City, IN, CCN 155384 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Golden Rule Care CenterRichmond, IN, CCN 155264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Elkhart Care CenterElkhart, IN, CCN 155685 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brandywine Care CenterGreenfield, IN, CCN 155120 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brentwood Care CenterEvansville, IN, CCN 155248 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Terrace Care CenterLa Porte, IN, CCN 155136 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Knox Care CenterKnox, IN, CCN 155686 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodlands Care CenterNewburgh, IN, CCN 155252 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Hamilton Trace of FishersFishers, IN, CCN 155793 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2013
Brickyard Healthcare - Muncie Care CenterMuncie, IN, CCN 155687 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brownsburg Health Care CenterBrownsburg, IN, CCN 155206 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Castleton Health Care CenterIndianapolis, IN, CCN 155245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Brickyard Healthcare - Petersburg Care CenterPetersburg, IN, CCN 155375 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Richmond Care CenterRichmond, IN, CCN 155157 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Willow Springs Care CenterIndianapolis, IN, CCN 155834 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 10, 2015
The Waters of LebanonLebanon, IN, CCN 155211 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 15, 2017
Westside Retirement VillageIndianapolis, IN, CCN 155606 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2018
Feb 24, 2025
Mitchell ManorMitchell, IN, CCN 155324 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2018
Feb 25, 2025
Life Care Center of Ft WayneFort Wayne, IN, CCN 155266 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2018
Feb 26, 2025
Heritage HealthcareWest Lafayette, IN, CCN 155402 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Sep 1, 2018
Feb 26, 2025
Life Care Center of the WillowsValparaiso, IN, CCN 155158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 24, 2025
Hammond-Whiting Care CenterWhiting, IN, CCN 155423 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 27, 2025
Parkview Care CenterEvansville, IN, CCN 155348 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 24, 2025
Life Care Center of Michigan CityMichigan City, IN, CCN 155344 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 25, 2025
Life Care Center of LagrangeLagrange, IN, CCN 155343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2018
Feb 27, 2025
The Lane HouseCrawfordsville, IN, CCN 155477 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Sep 1, 2012
Feb 20, 2025
The WoodlandsMuncie, IN, CCN 155229 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2018
Feb 26, 2025
Life Care Center of ValparaisoValparaiso, IN, CCN 155331 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2018
Feb 21, 2025
Green Valley Care CenterNew Albany, IN, CCN 155070 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2018
Feb 28, 2025
Life Care Center of RochesterRochester, IN, CCN 155379 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2018
Feb 27, 2025
Rensselaer Care CenterRensselaer, IN, CCN 155287 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2018
Feb 27, 2025
Byron Health CenterFort Wayne, IN, CCN 155364 Skilled nursing facility Direct Ownership Interest (100%) Aug 1, 2020
Hickory Creek at SunsetGreencastle, IN, CCN 155565 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2022
May 7, 2025
Suburban Home Health, LLCNoblesville, IN, CCN 157092 Home health agency 5% Or Greater Indirect Ownership Interest (12.82%) Sep 3, 2024
Suburban HospiceNoblesville, IN, CCN 151547 Hospice 5% Or Greater Indirect Ownership Interest (12.82%) Nov 1, 2024

Facilities with the same owner 45

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

View all 45

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1669650297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TANGLEWOOD LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 TANGLEWOOD LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452625",
            "telephone_number": "574-277-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-745-4451"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brickyard Healthcare - Fountainview Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.