Henry County Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10-000142-1 Issued in IN

Legal business name

HENRY COUNTY MEMORIAL HOSPITAL

Doing business as

Bethany Village

Practice address

3518 S Shelby St
Indianapolis, IN 46227-3226

Phone

(317) 783-4042

Fax

(317) 781-3044

NPI assigned

Oct 25, 2005

Last updated

Jun 25, 2026By 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. Steve Van Camp, CPA

Title

Ceo of ASC

Phone

(317) 788-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethany Village 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 1760472252. Details of each certification follow.

• CCN 155237 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155237

Legal name

HENRY COUNTY MEMORIAL HOSPITAL

Doing business as

BETHANY VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 26, 1984

Last certification

Sep 10, 2024

Beds

100

Ownership / control type

Corporation

Multi-facility organization

American Senior Communities

Organization structure

GovernmentNon-profit

Enrollment address

3518 Shelby St
Indianapolis, IN 46227-3226

Nursing home name

BETHANY VILLAGE

Affiliated entity

AMERICAN SENIOR COMMUNITIES

Listed as

Bethany VillageCCN 155237 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 26, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10087.1 residents per day on average

Chain

American Senior Communities90 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Henry County Memorial Hos47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

• Henry County Memorial Hospital

  dba The Waters of Muncie

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1003853557
  NPD tax ID
• Henry County Memorial Hospital

  dba Hickory Creek at Connersville

  • Skilled Nursing Facility
  • Connersville, IN
  • NPI 1013946979
  NPD tax ID
• Henry County Memorial Hospital

  dba Hickory Creek at Scottsburg

  • Skilled Nursing Facility
  • Scottsburg, IN
  • NPI 1033148820
  NPD tax ID
• Henry County Memorial Hospital

  dba Hickory Creek at Franklin

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053340919
  NPD tax ID
• Henry County Memorial Hospital

  • Family Medicine Physician
  • Spiceland, IN
  • NPI 1083872840
  NPD tax ID
• Henry County Memorial Hospital

  dba Hickory Creek at Madison

  • Skilled Nursing Facility
  • Madison, IN
  • NPI 1104855980
  NPD tax ID
• Henry County Memorial Hospital

  dba Willows of New Castle

  • Skilled Nursing Facility
  • New Castle, IN
  • NPI 1124399910
  NPD tax ID
• Henry County Memorial Hospital

  dba The Waters of Muncie

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1134489339
  NPD tax ID
• Henry County Memorial Hospital

  dba Hickory Creek at Peru

  • Skilled Nursing Facility
  • Peru, IN
  • NPI 1164451944
  NPD tax ID
• Henry County Memorial Hospital

  dba New Castle Family & Internal Medicine at Northfield Park

  • Rural Health Clinic/Center
  • New Castle, IN
  • NPI 1164949947
  NPD tax ID
• Henry County Memorial Hospital

  dba The Waters of New Castle

  • Skilled Nursing Facility
  • New Castle, IN
  • NPI 1225397417
  NPD tax ID
• Henry County Memorial Hospital

  dba New Castle Walk-In Care

  • Family Medicine Physician
  • New Castle, IN
  • NPI 1295159101
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Health and Hospital Corporation of Marion County

  dba University Nursing Center

  • Skilled Nursing Facility
  • Upland, IN
  • NPI 1972663110

  Member Of

  NPD member

All disclosed owners & managing parties 24

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.

• Saad A. Hafidh, M.D

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1629100268

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 39

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

Facilities with the same owner 116

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

• Anew Home Health, LLC

  dba Anew Home Health

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1003342882

  American Senior Communities LLC

  CMS ownership
• Anew Hospice Ft Wayne LLC

  dba Anew Hospice FT. Wayne

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
  • NPI 1902593882

  American Senior Communities LLC

  CMS ownership
• Anew Hospice LLC

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1538540638

  American Senior Communities LLC

  CMS ownership
• Hendricks County Hospital

  dba Hickory Creek at Sunset

  • Skilled Nursing Facility
  • Greencastle, IN
  • NPI 1659300440

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba The Waters of Muncie

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1003853557

  Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Connersville

  • Skilled Nursing Facility
  • Connersville, IN
  • NPI 1013946979

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Scottsburg

  • Skilled Nursing Facility
  • Scottsburg, IN
  • NPI 1033148820

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Franklin

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053340919

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Madison

  • Skilled Nursing Facility
  • Madison, IN
  • NPI 1104855980

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  dba Willows of New Castle

  • Skilled Nursing Facility
  • New Castle, IN
  • NPI 1124399910

  Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Peru

  • Skilled Nursing Facility
  • Peru, IN
  • NPI 1164451944

  American Senior Communities LLC, Henry County Memorial Hospital

  CMS ownership
• Henry County Memorial Hospital

  dba New Castle Family & Internal Medicine at Northfield Park

  • Rural Health Clinic/Center
  • New Castle, IN
  • NPI 1164949947

  Henry County Memorial Hospital

  CMS ownership

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1760472252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462273226",
            "telephone_number": "317-783-4042",
            "fax_number": "317-781-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 S SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462273226",
            "telephone_number": "317-783-4042",
            "fax_number": "317-781-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "VAN CAMP",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO OF ASC",
        "authorized_official_telephone_number": "317-788-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "10-000142-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266940B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethany Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Henrichs, PHARMD
• Mary E Henrichsen
• Janet Z. Henriquez, LCSW
• Henry County Memorial Hospital (Bethany Village Assisted Living)
• Henry County Memorial Hospital (Alpha Home - A Waters Community)
• Henry County Memorial Hospital (Fairway Village)
• Henry County Memorial Hospital (Pyramid Point Post-Acute Rehabilitation Center)
• Carolyn Henry-Wilson, B.A., ICAC-II, MATS
• Adam D Henry, M.D.
• Allison Henry

• Skilled Nursing Facility in Indianapolis, IN
• Providers in Indianapolis, 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 Jun 25, 2026; 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.