Holy Cross Village at Notre Dame, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-002668-2 Issued in IN

Legal business name

HOLY CROSS VILLAGE AT NOTRE DAME, INC.

Practice address

54515 State Road 933
Notre Dame, IN 46556

Phone

(574) 287-1838

Fax

(574) 289-7277

NPI assigned

Jun 13, 2006

Last updated

Feb 4, 2014By 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. Jack Mueller

Title

Chief Operating Officer

Phone

(574) 287-1838

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760425391. Details of each certification follow.

• CCN 155745 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155745

Legal name

HOLY CROSS VILLAGE AT NOTRE DAME, INC.

Doing business as

HOLY CROSS VILLAGE AT NOTRE DAME INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 4, 2006

Last certification

Mar 13, 2025

Beds

128 (52 certified)

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 17, 1999 in IN

Enrollment address

54515 State Road 933
South Bend, IN 46637-3364

Nursing home name

HOLY CROSS VILLAGE AT NOTRE DAME INC

Listed as

Holy Cross Village at Notre Dame IncCCN 155745 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 4, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5245.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 16

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 1

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

• Robert Cassady, M.D.

  • Family Medicine Physician
  • South Bend, IN
  • NPI 1407206824

  Adp of the SNF

  CMS ownership

Affiliated clinicians 2

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

• Robert Cassady, M.D.

  • Family Medicine Physician
  • South Bend, IN
  • NPI 1407206824

  Nursing home

  Care Compare affiliation
• Rachael Anne Harris Sprunger, DO

  • Physical Medicine & Rehabilitation Physician
  • South Bend, IN
  • NPI 1457611865

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1760425391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54515 STATE ROAD 933",
            "address_2": "P.O. BOX 706",
            "city": "NOTRE DAME",
            "state": "IN",
            "postal_code": "46556",
            "telephone_number": "574-287-1838",
            "fax_number": "574-289-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54515 STATE ROAD 933",
            "city": "NOTRE DAME",
            "state": "IN",
            "postal_code": "46556",
            "telephone_number": "574-287-1838",
            "fax_number": "574-289-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS VILLAGE AT NOTRE DAME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "574-287-1838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-002668-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200325990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Garman
• Jamie Garvey, PSY.D.
• Amy E Heiby, ATC
• April Lynn Henry, NP-C
• Crystal Marie Higginson
• Victoria Hommel, MS, ATC, LAT
• Sofia Santiaguel Ignaco, PT
• Patricia Ann Kelly-Holmes, M.D.
• Cloe Lucia Klaus, ATC
• Labcorp Indiana Inc

• Skilled Nursing Facility in Notre Dame, IN
• Providers in Notre Dame, 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 Feb 4, 2014; 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.