Active NPI
Jackson County Schneck Memorial Hospital
- Skilled Nursing Facility
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
- Practice address
- 4301 N Walnut St
Muncie, IN 47303-1190 - Phone
- (765) 282-0053
- Fax
- (765) 282-3290
- NPI assigned
- Mar 14, 2013
- 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
- Warren Forgey
- Title
- Treasurer
- Phone
- (812) 522-0172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IN | Primary |
Addresses
Primary practice location
4301 N Walnut St
Muncie, IN 47303-1190
Mailing address
4301 N Walnut St
Muncie, IN 47303-1190
Phone (765) 282-0053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100291200C | Medicaid | IN |
Other names 1
- Signature HealthCARE of Muncie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130516000311 | IN | Part A Provider - Skilled Nursing Facility | 8224004585 | Practice locations: Muncie, IN |
Skilled nursing facility certification: CCN 155242
- Legal name
- JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
- Doing business as
- SIGNATURE HEALTHCARE OF MUNCIE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1984
- Last certification
- Jan 23, 2025
- Beds
- 140
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Signature Healthcare LLC
- Organization structure
- Other
- Enrollment address
- 4301 N Walnut St
Muncie, IN 47303-1190 - Nursing home name
- SIGNATURE HEALTHCARE OF MUNCIE
- Affiliated entity
- SIGNATURE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Signature Healthcare of Muncie
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1984
- Medicare certification status
- Active
- Certified beds
- 140
- Chain
- Signature Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
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 |
|---|---|---|---|
| 15D0360000 | Dba Signature Healthcare of Muncie Jackson Co | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Schneck Medical Center
Other organizations with this tax ID 33
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medicare Defined Swing Bed Hospital Unit
- Seymour, IN
- NPI 1043332927
-
- Skilled Nursing Facility
- Brownstown, IN
- NPI 1043561970
-
- Skilled Nursing Facility
- Terre Haute, IN
- NPI 1083955124
-
- Home Health Agency
- Seymour, IN
- NPI 1164485553
-
- Skilled Nursing Facility
- Lebanon, IN
- NPI 1184965550
-
- Community/Retail Pharmacy
- Seymour, IN
- NPI 1205780145
-
- Skilled Nursing Facility
- Odon, IN
- NPI 1205839826
-
- Skilled Nursing Facility
- Bremen, IN
- NPI 1275959751
-
- Rural Health Clinic/Center
- Seymour, IN
- NPI 1285213272
-
- Rural Health Clinic/Center
- Seymour, IN
- NPI 1295310753
-
- Corporate Health Clinic/Center
- Seymour, IN
- NPI 1336685536
-
- Long Term Care Pharmacy
- Brownstown, IN
- NPI 1366396103
Ownership & related parties
All disclosed owners & managing parties 65
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 |
|---|---|---|---|
| Adp of the SNF | Aug 12, 2015 | ||
| Jack L McCory | Corporate Director | May 1, 2013 | |
| Managing Control - Governing Body | Jul 1, 2012 | ||
| Trustee of the SNF | Jul 1, 2012 | ||
| Adp of the SNF | Jun 1, 2022 | ||
| Rick L Smith | Corporate Director | May 1, 2013 | |
| Managing Control - Governing Body | Jul 1, 2012 | ||
| Trustee of the SNF | Jul 1, 2012 | ||
| Andrew B Markel | Corporate Director | Sep 1, 2020 | |
| Managing Control - Governing Body | Sep 1, 2020 | ||
| Trustee of the SNF | Sep 1, 2020 | ||
| Adp of the SNF | Jan 1, 2017 | ||
| Adp of the SNF | Jun 1, 2022 | ||
| Adp of the SNF | Aug 12, 2015 | ||
| Sabra Health Care Reit Inc | Adp of the SNF | Aug 12, 2015 | |
| Pharmerica Holdings Inc | Adp of the SNF | May 1, 2018 | |
| Courtney B Kleber | Corporate Director | Sep 1, 2020 | |
| Managing Control - Governing Body | Sep 1, 2020 | ||
| Trustee of the SNF | Sep 1, 2020 | ||
| Adp of the SNF | Oct 10, 2025 | ||
| LP Muncie LLC | Adp of the SNF | Oct 3, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Ira Smedra | Operational/Managerial Control | May 1, 2013 | |
| Barbara Revelette | Operational/Managerial Control | Jan 17, 2022 | |
| Adp of the SNF | Jan 17, 2022 | ||
| Midcap Finco LLC | 5% Or Greater Security Interest | Feb 23, 2023 | 100% |
| Operational/Managerial Control | Feb 23, 2023 | ||
| Adp of the SNF | Feb 23, 2023 | ||
| Christy Berryman | Operational/Managerial Control | Jun 2, 2025 | |
| Adp of the SNF | Jun 2, 2025 | ||
| Deborah a Mann | Corporate Officer | Mar 1, 2015 | |
| Operational/Managerial Control | Feb 10, 2014 | ||
| Managing Control - Governing Body | Feb 10, 2021 | ||
| Maria Doyle | Adp of the SNF | Jul 1, 2021 | |
| Healthcare Services Group Inc | Operational/Managerial Control | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Matthew K Reedy | Corporate Director | May 1, 2013 | |
| Managing Control - Governing Body | Jul 1, 2012 | ||
| Trustee of the SNF | Jul 1, 2012 | ||
| Adp of the SNF | Jun 1, 2022 | ||
| Adp of the SNF | May 1, 2013 | ||
| SHC Medical Partners of Indiana, LLC | Adp of the SNF | Mar 20, 2020 | |
| Jennifer Moore | Operational/Managerial Control | Aug 12, 2024 | |
| Adp of the SNF | Aug 12, 2024 | ||
| SHC Medical Partners LLC | Adp of the SNF | Jan 1, 2017 | |
| Jacob Wintner | Operational/Managerial Control | May 1, 2013 | |
| Jeffrey B Hiltz | Operational/Managerial Control | Jan 1, 2012 | |
| Adp of the SNF | Jan 1, 2012 | ||
| Asbr Holdings LLC | Operational/Managerial Control | May 1, 2018 | |
| Terrence L Gilliland | Corporate Director | May 1, 2013 | |
| Managing Control - Governing Body | Jul 1, 2012 | ||
| Trustee of the SNF | Jul 1, 2012 | ||
| Signature Rehab Consulting Services LLC | Operational/Managerial Control | May 1, 2013 | |
| Adp of the SNF | May 1, 2013 | ||
| Adp of the SNF | Aug 12, 2015 | ||
| Susan D Bevers | Corporate Director | Sep 1, 2020 | |
| Managing Control - Governing Body | Sep 1, 2020 | ||
| Trustee of the SNF | Sep 1, 2020 | ||
| Adp of the SNF | Apr 29, 2022 | ||
| Eric D Fish | Corporate Officer | Sep 1, 2020 | |
| Operational/Managerial Control | Sep 1, 2020 | ||
| Managing Control - Governing Body | Sep 1, 2020 | ||
| Adp of the SNF | Jun 1, 2022 | ||
| Signature Healthcare Clinical Consulting Services LLC | Adp of the SNF | May 1, 2013 | |
| SHC in Holdings LLC | Adp of the SNF | Oct 3, 2025 | |
| Signature Healthcare Consulting Services LLC | Adp of the SNF | May 1, 2013 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Charles M Stigler | Operational/Managerial Control | May 1, 2013 | |
| Adp of the SNF | May 1, 2013 | ||
| Jared B Houck | Operational/Managerial Control | Apr 29, 2024 | |
| Adp of the SNF | Apr 29, 2024 | ||
| Stakeholder Payroll Services LLC | Adp of the SNF | May 1, 2013 | |
| Capital One NA | Adp of the SNF | May 7, 2018 | |
| Lpsnf LLC | Adp of the SNF | May 1, 2013 | |
| John H Harrison | Operational/Managerial Control | May 1, 2013 | |
| Adp of the SNF | May 1, 2013 | ||
| Adp of the SNF | May 1, 2018 | ||
| Forvis Mazars LLP | Adp of the SNF | Nov 18, 2024 | |
| Eileen Thomas | Operational/Managerial Control | Jun 16, 2025 | |
| Adp of the SNF | Jun 16, 2025 | ||
| Pharmacy Corporation of America-Ma | Adp of the SNF | May 1, 2018 | |
| Adp of the SNF | May 8, 2017 | ||
| Brandon J Harpe | Corporate Director | Sep 1, 2020 | |
| Managing Control - Governing Body | Sep 1, 2020 | ||
| Trustee of the SNF | Sep 1, 2020 | ||
| Jackson County Schneck Memorial Hospital | 5% Or Greater Direct Ownership Interest | May 1, 2013 | 100% |
| 5% Or Greater Indirect Ownership Interest | May 1, 2013 | 100% | |
| Adp of the SNF | Oct 3, 2025 | ||
| Wheaten LLC | Adp of the SNF | May 1, 2013 | |
| Roland G Rapp | Operational/Managerial Control | May 1, 2013 | |
| Marc Storey | Managing Control - Governing Body | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Elmer Joseph Steier III | Operational/Managerial Control | May 1, 2013 | |
| LP Muncie Management, LLC | Operational/Managerial Control | May 1, 2013 | |
| Adp of the SNF | May 1, 2013 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Timothy H Lehner | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Jjla LLC | Adp of the SNF | May 1, 2013 | |
| Adp of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Obstetrics & Gynecology Physician
- Seymour, IN
- NPI 1831121599
Corporate Officer, Managing Control - Governing Body, Operational/Managerial Control
-
- Family Medicine Physician
- Muncie, IN
- NPI 1568437572
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 17
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Schneck Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Schneck Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 24, 1966 |
| Lutheran Community Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 2012 Jul 1, 2012 |
| Hoosier Health & Living Community | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2012 |
| Signature Healthcare at Parkwood | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2013 |
| Signature Healthcare of Terre Haute | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2013 |
| Crown Point Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| Majestic Care of Newburgh | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2013 |
| Majestic Care of Lafayette | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2013 |
| Chateau Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2013 |
| Majestic Care of South Bend | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Indirect Ownership Interest (100%) |
Aug 1, 2013 Aug 1, 2013 |
| Bertha D Garten Ketcham Memorial Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Apr 2, 2013 May 19, 2025 |
| Signature Healthcare of Bremen | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
May 1, 2014 May 1, 2014 Sep 26, 2025 |
| Covered Bridge Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Stonebridge Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Schneck Medical Center Home Health Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 24, 1940 |
| Schneck Medical Center Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jun 24, 1940 |
Facilities with the same owner 77
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Medicare Defined Swing Bed Hospital Unit
- Seymour, IN
- NPI 1043332927
Jackson County Schneck Memorial Hospital
-
- Skilled Nursing Facility
- Brownstown, IN
- NPI 1043561970
Jackson County Schneck Memorial Hospital
-
- Skilled Nursing Facility
- Terre Haute, IN
- NPI 1083955124
Asbr Holdings LLC, Jackson County Schneck Memorial Hospital
-
- Home Health Agency
- Seymour, IN
- NPI 1164485553
Jackson County Schneck Memorial Hospital
-
- Skilled Nursing Facility
- Lebanon, IN
- NPI 1184965550
Jackson County Schneck Memorial Hospital
-
- Skilled Nursing Facility
- Odon, IN
- NPI 1205839826
Jackson County Schneck Memorial Hospital
-
- Skilled Nursing Facility
- Bremen, IN
- NPI 1275959751
Asbr Holdings LLC, Healthcare Services Group Inc, Jackson County Schneck Memorial Hospital
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1518308295
Jackson County Schneck Memorial Hospital
-
- Skilled Nursing Facility
- Crown Point, IN
- NPI 1558604074
Jackson County Schneck Memorial Hospital
-
- Skilled Nursing Facility
- Seymour, IN
- NPI 1609139401
Jackson County Schneck Memorial Hospital
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
Jackson County Schneck Memorial Hospital
-
- Community Based Hospice Care Agency
- Seymour, IN
- NPI 1801858568
Jackson County Schneck Memorial Hospital
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421712000000",
"number": "1801137948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 N WALNUT ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031190",
"telephone_number": "765-282-0053",
"fax_number": "765-282-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N WALNUT ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031190",
"telephone_number": "765-282-0053",
"fax_number": "765-282-3290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2015-01-20",
"status": "A",
"authorized_official_last_name": "FORGEY",
"authorized_official_first_name": "WARREN",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "812-522-0172"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100291200C",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature HealthCARE of Muncie",
"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 Jan 20, 2015; 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.