Hendricks County Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HENDRICKS COUNTY HOSPITAL

Doing business as

Brickyard Healthcare - Petersburg Care Center

Practice address

309 W Pike Ave
Petersburg, IN 47567-8755

Phone

(812) 354-8833

NPI assigned

May 25, 2006

Last updated

Jun 14, 2022By 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

Kevin P Speer

Title

President/Ceo

Phone

(317) 745-4451

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Brickyard Healthcare - Petersburg Care Center 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 1770539546. Details of each certification follow.

• CCN 155375 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155375

Legal name

HENDRICKS COUNTY HOSPITAL

Doing business as

BRICKYARD HEALTHCARE - PETERSBURG CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 16, 1991

Last certification

Aug 9, 2024

Beds

63

Ownership / control type

Corporation

Multi-facility organization

Brickyard Health Care

Organization structure

OtherNon-profit

Enrollment address

309 W Pike Ave
Petersburg, IN 47567-8755

Nursing home name

BRICKYARD HEALTHCARE - PETERSBURG CARE CENTER

Affiliated entity

BRICKYARD HEALTHCARE

Listed as

Brickyard Healthcare - Petersburg Care CenterCCN 155375 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 16, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6346.0 residents per day on average

Chain

Brickyard Healthcare23 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

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.

• Brownsburg Family Medical Center, P.C.

  • Family Medicine Physician
  • Brownsburg, IN
  • NPI 1801816673
  NPD tax ID
• Hendricks Community Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Brownsburg, IN
  • NPI 1700244779
  NPD tax ID
• Hendricks Community Hospital

  dba Brownsburg Schools Wellness Center

  • Corporate Health Clinic/Center
  • Brownsburg, IN
  • NPI 1821576737
  NPD tax ID
• Hendricks County Hospital

  dba Life Care Center of Fort Wayne

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1700833670
  NPD tax ID
• Hendricks County Hospital

  dba Lizton Family Medicine

  • Family Medicine Physician
  • Lizton, IN
  • NPI 1710084025
  NPD tax ID
• Hendricks County Hospital

  • Pain Medicine (Anesthesiology) Physician
  • Avon, IN
  • NPI 1710535653
  NPD tax ID
• Hendricks County Hospital

  dba Life Care Center of LaGrange

  • Skilled Nursing Facility
  • Lagrange, IN
  • NPI 1710934518
  NPD tax ID
• Hendricks County Hospital

  dba Brickyard Healthcare - Sycamore Village Care Center

  • Skilled Nursing Facility
  • Kokomo, IN
  • NPI 1720030943
  NPD tax ID
• Hendricks County Hospital

  dba Hendricks Nephrology Associates

  • Nephrology Physician
  • Brownsburg, IN
  • NPI 1720528904
  NPD tax ID
• Hendricks County Hospital

  dba Hendricks Regional Health Palliative Care Clinic

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Danville, IN
  • NPI 1720647159
  NPD tax ID
• Hendricks County Hospital

  dba Hendricks Regional Health Infectious Disease Specialist

  • Infectious Disease Physician
  • Danville, IN
  • NPI 1730691841
  NPD tax ID
• Hendricks County Hospital

  dba Internal Medicine of Hendricks County Avon

  • Internal Medicine Physician
  • Avon, IN
  • NPI 1740102177
  NPD tax ID

Locations

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.

Owners & managing parties with NPI records 2

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

• Deanna M Fenoughty, M.D.

  • Obstetrics & Gynecology Physician
  • Avon, IN
  • NPI 1245218908

  Corporate Officer

  CMS ownership
• Mark E Gentry, MD

  • Obstetrics & Gynecology Physician
  • Danville, IN
  • NPI 1144260191

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 46

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

Facilities with the same owner 45

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

• Hendricks County Hospital

  dba Westside Retirement Village

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1033166871

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Hamilton Trace of Fishers

  • Skilled Nursing Facility
  • Fishers, IN
  • NPI 1033416243

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Valparaiso Care Center

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1053599688

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Castleton Health Care Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1063409498

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba 'Brickyard Healthcare - Brandywine Care Center '

  • Skilled Nursing Facility
  • Greenfield, IN
  • NPI 1063468676

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Green Valley Care Center

  • Skilled Nursing Facility
  • New Albany, IN
  • NPI 1063469930

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Muncie Care Center

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1063682896

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Parkview Care Center

  • Skilled Nursing Facility
  • Evansville, IN
  • NPI 1093762155

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - LaPorte Care Center

  • Skilled Nursing Facility
  • La Porte, IN
  • NPI 1093985814

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Golden Rule Care Center

  • Skilled Nursing Facility
  • Richmond, IN
  • NPI 1124070339

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Brickyard Healthcare - Woodbridge Care Center

  • Skilled Nursing Facility
  • Evansville, IN
  • NPI 1124070347

  Hendricks County Hospital

  CMS ownership
• Hendricks County Hospital

  dba Life Care Center of Willows

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1194772087

  Hendricks County Hospital

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monica Brunelle, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1457468316
  NPD (past)

Affiliated clinicians 3

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

• Nathanial D Grow, M.D.

  • Family Medicine Physician
  • Petersburg, IN
  • NPI 1912900291

  Nursing home

  Care Compare affiliation
• Gary J Keepes, M.D.

  • Family Medicine Physician
  • Petersburg, IN
  • NPI 1104829480

  Nursing home

  Care Compare affiliation
• Alan D Stewart, M.D.

  • Internal Medicine Physician
  • Vincennes, IN
  • NPI 1003956178

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1770539546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W PIKE AVE",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475678755",
            "telephone_number": "812-354-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PIKE AVE",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475678755",
            "telephone_number": "812-354-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000217051",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266280 A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266280-B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brickyard Healthcare - Petersburg Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Samaritan Hospital (Samaritan Center - Petersburg)
• Greene Specific Chiropractic Clinic PC
• Robert C Greene, DC
• Nathanial D Grow, M.D.
• Betty L Harper, LCSW
• HLS Pharmacies Inc. (HLS Health and Wellness)
• Hook-Superx LLC (CVS Pharmacy #06879)
• Michelle Igleheart
• Gary J Keepes, M.D.
• Mark A Luff, M.D.

• Skilled Nursing Facility in Petersburg, IN
• Providers in Petersburg, 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 14, 2022; 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.