Active NPI
Pulaski Memorial Hospital
- Skilled Nursing Facility
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 070002693
- Legal business name
- PULASKI MEMORIAL HOSPITAL
- Practice address
- 4600 East Jackson Street
Muncie, IN 47303-4467 - Phone
- (765) 282-1416
- Fax
- (765) 289-7190
- NPI assigned
- Jan 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregg Malott
- Title
- Consultant
- Phone
- (574) 946-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 070002693 | IN | Primary |
Addresses
Primary practice location
4600 East Jackson Street
Muncie, IN 47303-4467
Mailing address
4600 East Jackson Street
Muncie, IN 47303-4467
Phone (765) 282-1416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100267720B | Medicaid | IN |
Other names 2
- Cardinal Care Strategies
- LIBERTY VILLAGE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210902003105 | IN | Part A Provider - Skilled Nursing Facility | 3173515509 | Practice locations: Muncie, IN |
Skilled nursing facility certification: CCN 155400
- Legal name
- PULASKI MEMORIAL HOSPITAL
- Doing business as
- CARDINAL CARE STRATEGIES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 17, 1989
- Last certification
- Dec 17, 2024
- Beds
- 104
- Ownership / control type
- Corporation
- Multi-facility organization
- Care Strategies
- Organization structure
- Government
- Enrollment address
- 4600 E Jackson St
Muncie, IN 47303-4467 - Nursing home name
- CARDINAL CARE STRATEGIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cardinal Care Strategies
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 17, 1989
- Medicare certification status
- Active
- Certified beds
- 104
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0695370 | Cardinal Care Strategies | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Cindy Parker MD
Other organizations with this tax ID 42
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Crown Point, IN
- NPI 1023013455
-
- Skilled Nursing Facility
- Loogootee, IN
- NPI 1023152857
-
- Skilled Nursing Facility
- Connersville, IN
- NPI 1053358960
-
- Skilled Nursing Facility
- Greencastle, IN
- NPI 1093736076
-
- Skilled Nursing Facility
- South Bend, IN
- NPI 1093750119
-
- Skilled Nursing Facility
- Vincennes, IN
- NPI 1093796179
-
- Skilled Nursing Facility
- South Bend, IN
- NPI 1194167650
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1235177981
-
- Rural Health Clinic/Center
- Francesville, IN
- NPI 1245710086
-
- Community/Retail Pharmacy
- Francesville, IN
- NPI 1245952480
-
- Skilled Nursing Facility
- Angola, IN
- NPI 1306837869
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Cathy Young | Contracted Managing Employee | Jun 27, 2021 | 100% |
| Gregg a Malott | Corporate Officer | Jun 27, 2021 | 100% |
| Pulaski Memorial Hospital | 5% Or Greater Direct Ownership Interest | Jun 27, 2021 | 100% |
| Thomas F Barry | Corporate Officer | Jun 27, 2021 | 100% |
All facility ownership & control disclosures 27
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Envive of River City | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 2014 Jul 1, 2014 |
| Majestic Care of West Allen | Skilled nursing facility | Operational/Managerial Control (100%) | Jun 1, 2015 |
| Parkview Haven | Skilled nursing facility | Operational/Managerial Control (100%) | Sep 1, 2015 |
| Kingston Health Center of Fort Wayne | Skilled nursing facility | Operational/Managerial Control (100%) | Dec 16, 2025 |
| Northern Lakes Nursing and Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control (100%) | Oct 1, 2015 |
| The Milton Home | Skilled nursing facility | Operational/Managerial Control (100%) | Dec 1, 2016 |
| Simmons Loving Care Health Facility | Skilled nursing facility | Operational/Managerial Control (100%) | May 1, 2018 |
| Maple Manor Christian Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2019 |
| Saint Anthony | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2020 |
| Majestic Care of Jefferson Pointe | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2020 |
| Majestic Care of Avon | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2020 |
| Majestic Care of Carmel | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2021 |
| Majestic Care of Southport | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2021 |
| Poplar Care Strategies | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Sycamore Care Strategies | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Gentle Care Strategies | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Heritage Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| Saint Anthony | Skilled nursing facility | Operational/Managerial Control (100%) | Apr 1, 2023 |
| Hickory Creek at Rochester | Skilled nursing facility | Operational/Managerial Control (100%) | Apr 1, 2023 |
| Briarcliff Health & Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2024 |
| South Shore Health & Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2024 |
| Asbury Towers Health Care Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2024 Jul 1, 2024 |
| Pulaski Memorial Hospital | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 20, 2002 Mar 20, 2002 |
| Pulaski Memorial Hospital Francesville Family Medicine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1989 Jan 1, 1989 |
| Pulaski Memorial Hospital North Judson Family Medicine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1989 Jan 1, 1989 |
| Pulaski Memorial Hospital Knox Medical Center | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 2019 Sep 1, 2019 |
| Pulaski Memorial Hospital Culver Medical Center | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2024 Jan 1, 2024 |
Facilities with the same owner 27
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Crown Point, IN
- NPI 1023013455
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- Loogootee, IN
- NPI 1023152857
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- Greencastle, IN
- NPI 1093736076
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- Vincennes, IN
- NPI 1093796179
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- South Bend, IN
- NPI 1194167650
Pulaski Memorial Hospital
-
- Rural Health Clinic/Center
- Francesville, IN
- NPI 1245710086
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- Angola, IN
- NPI 1306837869
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- Avon, IN
- NPI 1326082009
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1336548353
Pulaski Memorial Hospital
-
- Nursing Facility/Intermediate Care Facility
- Gary, IN
- NPI 1346263217
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- Gary, IN
- NPI 1346292737
Pulaski Memorial Hospital
-
- Skilled Nursing Facility
- South Bend, IN
- NPI 1487044822
Pulaski Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634860800000",
"number": "1740466770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 EAST JACKSON STREET",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034467",
"telephone_number": "765-282-1416",
"fax_number": "765-289-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 EAST JACKSON STREET",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034467",
"telephone_number": "765-282-1416",
"fax_number": "765-289-7190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULASKI MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A",
"authorized_official_last_name": "MALOTT",
"authorized_official_first_name": "GREGG",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "574-946-2100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "070002693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100267720B",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardinal Care Strategies",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LIBERTY VILLAGE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.