NPIMap

Organization Active NPI

Major Hospital

Doing business as The Waters of Dillsboro-Ross Manor

  • Skilled Nursing Facility
  • Dillsboro, IN
National Provider Identifier
1730120213
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAJOR HOSPITAL
Doing business as
The Waters of Dillsboro-Ross Manor
Practice address
12803 Lenover St
Dillsboro, IN 47018-9418
Phone
(812) 432-5226
Fax
(812) 432-3311
NPI assigned
Jun 8, 2006
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
John Horner
Title
President & Ceo
Phone
(317) 398-5255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05-000178-1 IN
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

12803 Lenover St
Dillsboro, IN 47018-9418

Mailing address

240 Fencl Lane
Hillside, IL 60162-2067
Phone (708) 449-1900

Other identifiers 5

IdentifierTypeStateIssuer
100273840CMedicaidIN
000000385604OtherINANTHEM BCBS OT OUTPATIENT
000000385603OtherINANTHEM BCBS PT OUTPATIENT
000000385605OtherINANTHEM BCBS ST OUTPATIENT
000000383032OtherINANTHEM BCBS

Other names 1

  • The Waters of Dillsboro-Ross Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805001057 IN Part A Provider - Skilled Nursing Facility 0446167415 Practice locations: Dillsboro, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730120213. Details of each certification follow.

Skilled nursing facility certification: CCN 155280

Legal name
MAJOR HOSPITAL
Doing business as
THE WATERS OF DILLSBORO-ROSS MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 31, 1985
Last certification
Mar 6, 2025
Beds
123
Ownership / control type
Corporation
Multi-facility organization
Infinity Healthcare Management
Organization structure
GovernmentNon-profit
Enrollment address
12803 Lenover St
Dillsboro, IN 47018-9418
Nursing home name
WATERS OF DILLSBORO-ROSS MANOR, THE
Affiliated entity
INFINITY HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waters of Dillsboro-Ross Manor, theCCN 155280 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 31, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12366.3 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Major Hospital34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Major Hospital Organization, Shelbyville, IN 5% Or Greater Direct Ownership Interest May 19, 2014 100%
The Waters of Dillsboro-Ross Manor, LLC Organization, Dillsboro, IN Management services company Operational/Managerial Control May 19, 2014 100%
Joni L Zoz Individual Contracted Managing EmployeeAdministrator May 19, 2014 100%
Operational/Managerial ControlAdministrator May 19, 2014 100%
John M Horner Individual Corporate OfficerPresident and Chief Executive of May 19, 2014 100%
Operational/Managerial Control May 19, 2014

All facility ownership & control disclosures 42

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

FacilityTypeRoleSince
Willows of GreensburgGreensburg, IN, CCN 155210 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Willows of ShelbyvilleShelbyville, IN, CCN 155022 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Westpark a Waters CommunityIndianapolis, IN, CCN 155389 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Aug 1, 2012
Majestic Care of Terre HauteTerre Haute, IN, CCN 155143 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013
Majestic Care of Deming ParkTerre Haute, IN, CCN 155358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013
Casa of HobartHobart, IN, CCN 155469 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Harbor Health & RehabEast Chicago, IN, CCN 155653 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 1, 2013
Mar 1, 2013
Nov 25, 2025
Dyer Nursing and Rehabilitation CenterDyer, IN, CCN 155220 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Mar 1, 2013
Nov 25, 2025
Aperion Care Arbors Michigan CityMichigan City, IN, CCN 155156 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2013
Mar 1, 2013
Aperion Care KokomoKokomo, IN, CCN 155064 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2013
Hillside Manor Nursing HomeWashington, IN, CCN 155708 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Milner Community Health CareRossville, IN, CCN 155676 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2013
Celebrate Senior Living of Fort WayneFort Wayne, IN, CCN 155255 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Saint Anthony Rehab and Nursing CenterLafayette, IN, CCN 155604 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Core of DaleDale, IN, CCN 155270 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Core of BedfordBedford, IN, CCN 155388 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Aperion Care DemotteDemotte, IN, CCN 155572 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2014
Munster Med-InnMunster, IN, CCN 155131 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
The Waters of CovingtonCovington, IN, CCN 155223 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 19, 2014
The Waters of IndianapolisIndianapolis, IN, CCN 155409 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 19, 2014
The Waters of Clifty FallsMadison, IN, CCN 155209 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 19, 2014
The Waters of BatesvilleBatesville, IN, CCN 155233 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 19, 2014
The Waters of Rising SunRising Sun, IN, CCN 155483 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 19, 2014
McCormick's Creek Rehabilitation and Healthcare CenterSpencer, IN, CCN 155649 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 1, 2014
Jun 19, 2025
Aperion Care Tolleston ParkGary, IN, CCN 155580 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
Waldron Health and Rehab CenterWaldron, IN, CCN 155704 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2014
Jul 1, 2024
Transcendent Healthcare of Boonville NorthBoonville, IN, CCN 155801 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2014
Lincolnshire Health Care CenterMerrillville, IN, CCN 155650 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2014
Aperion Care PeruPeru, IN, CCN 155702 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Grey Stone Health & Rehab CenterFort Wayne, IN, CCN 155809 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2015
Jan 1, 2015
Jun 19, 2025
Transcendent Healthcare of OwensvilleOwensville, IN, CCN 155502 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015
Transcendent Healthcare of BoonvilleBoonville, IN, CCN 155508 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015
Belltower Health & Rehabilitation CenterGranger, IN, CCN 155850 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Spring Mill Health CampusMerrillville, IN, CCN 155764 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Trustee of the SNF
Adp of the SNF
Direct Ownership Interest		 Jul 1, 2017
Sep 1, 2021
Dec 16, 2025
Sep 1, 2021
Aperion Care Marion, LLCMarion, IN, CCN 155799 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 20, 2018
Sep 20, 2018
The Restoracy of CarmelCarmel, IN, CCN 155846 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Ripley CrossingMilan, IN, CCN 155730 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 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
MHP OB/GYNShelbyville, IN, CCN 158531 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 7, 2006
MHP Primary and Specialty CareShelbyville, IN, CCN 158532 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 7, 2006
MHP PediatricsShelbyville, IN, CCN 158529 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 7, 2006

Facilities with the same owner 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1730120213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 FENCL LANE",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622067",
            "telephone_number": "708-449-1900",
            "fax_number": "708-449-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 LENOVER ST",
            "city": "DILLSBORO",
            "state": "IN",
            "postal_code": "470189418",
            "telephone_number": "812-432-5226",
            "fax_number": "812-432-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "317-398-5255"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-000178-1",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273840C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OT OUTPATIENT",
            "identifier": "000000385604",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PT OUTPATIENT",
            "identifier": "000000385603",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS ST OUTPATIENT",
            "identifier": "000000385605",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000383032",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waters of Dillsboro-Ross Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dillsboro, IN

Sources for this page

Verify at the official NPI Registry.