Organization Active NPI

Jackson County Schneck Memorial Hospital

  • Skilled Nursing Facility
  • Muncie, IN
National Provider Identifier
1801137948
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jan 20, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100291200CMedicaidIN

Other names 1

  • Signature HealthCARE of Muncie Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherNon-profit
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 MuncieCCN 155242
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140114.7 residents per day on average
Chain
Signature Healthcare67 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0360000Dba Signature Healthcare of Muncie Jackson Co4301 N Walnut St, Muncie, IN 47303Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Schneck Medical Center34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

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.

NameRoleSinceShare
Organization, Tustin, CA Adp of the SNF Aug 12, 2015
Jack L McCory Individual Corporate DirectorBoard Member May 1, 2013
Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Organization, Louisville, KY LLC, Holding company Adp of the SNF Jun 1, 2022
Rick L Smith Individual Corporate DirectorVice Chariman May 1, 2013
Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Andrew B Markel Individual Corporate DirectorBoard Member Sep 1, 2020
Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Individual Adp of the SNF Jan 1, 2017
Organization, Louisville, KY LLC, Holding company Adp of the SNF Jun 1, 2022
Organization, Tustin, CA LLC Adp of the SNF Aug 12, 2015
Sabra Health Care Reit Inc Organization, Tustin, CA Corporation, Real estate investment trust (REIT) Adp of the SNF Aug 12, 2015
Pharmerica Holdings Inc Organization, Louisville, KY Corporation Adp of the SNF May 1, 2018
Courtney B Kleber Individual Corporate DirectorBoard Member Sep 1, 2020
Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Organization, Louisville, KY LLC, Holding company Adp of the SNF Oct 10, 2025
LP Muncie LLC Organization, Louisville, KY LLC Adp of the SNF Oct 3, 2025
Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Jan 1, 2025
Ira Smedra Individual Operational/Managerial Control May 1, 2013
Barbara Revelette Individual Operational/Managerial Control Jan 17, 2022
Adp of the SNF Jan 17, 2022
Midcap Finco LLC Organization, Bethesda, MD LLC, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Feb 23, 2023 100%
Operational/Managerial Control Feb 23, 2023
Adp of the SNF Feb 23, 2023
Christy Berryman Individual Operational/Managerial Control Jun 2, 2025
Adp of the SNF Jun 2, 2025
Deborah a Mann Individual Corporate OfficerVP Finance/Cfo Mar 1, 2015
Operational/Managerial Control Feb 10, 2014
Managing Control - Governing BodyVP Finance/Cfo Feb 10, 2021
Maria Doyle Individual Adp of the SNF Jul 1, 2021
Healthcare Services Group Inc Organization, Bensalem, PA Corporation Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Matthew K Reedy Individual Corporate DirectorBoard Member May 1, 2013
Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Individual Adp of the SNF Jun 1, 2022
Individual Adp of the SNF May 1, 2013
SHC Medical Partners of Indiana, LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Mar 20, 2020
Jennifer Moore Individual Operational/Managerial Control Aug 12, 2024
Adp of the SNF Aug 12, 2024
SHC Medical Partners LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Jan 1, 2017
Jacob Wintner Individual Operational/Managerial Control May 1, 2013
Jeffrey B Hiltz Individual Operational/Managerial Control Jan 1, 2012
Adp of the SNF Jan 1, 2012
Asbr Holdings LLC Organization, Louisville, KY LLC, Holding company Operational/Managerial Control May 1, 2018
Terrence L Gilliland Individual Corporate DirectorBoard Member May 1, 2013
Managing Control - Governing BodyBoard Member Jul 1, 2012
Trustee of the SNF Jul 1, 2012
Signature Rehab Consulting Services LLC Organization, Louisville, KY LLC, Consulting firm Operational/Managerial Control May 1, 2013
Adp of the SNF May 1, 2013
Organization, Tustin, CA LLC Adp of the SNF Aug 12, 2015
Susan D Bevers Individual Corporate DirectorBoard Member Sep 1, 2020
Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Organization, Louisville, KY Corporation Adp of the SNF Apr 29, 2022
Eric D Fish Individual Corporate OfficerPresident/Ceo Sep 1, 2020
Operational/Managerial Control Sep 1, 2020
Managing Control - Governing BodyPresident and Ceo Sep 1, 2020
Individual Adp of the SNF Jun 1, 2022
Signature Healthcare Clinical Consulting Services LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2013
SHC in Holdings LLC Organization, Louisville, KY LLC, Holding company Adp of the SNF Oct 3, 2025
Signature Healthcare Consulting Services LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2013
Organization, Louisville, KY LLC, Holding company Adp of the SNF Feb 1, 2025
Charles M Stigler Individual Operational/Managerial Control May 1, 2013
Organization, Louisville, KY LLC Adp of the SNF May 1, 2013
Jared B Houck Individual Operational/Managerial Control Apr 29, 2024
Adp of the SNF Apr 29, 2024
Stakeholder Payroll Services LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF May 1, 2013
Capital One NA Organization, New York, NY Financial institution Adp of the SNF May 7, 2018
Lpsnf LLC Organization, Los Angeles, CA LLC Adp of the SNF May 1, 2013
John H Harrison Individual Operational/Managerial Control May 1, 2013
Adp of the SNF May 1, 2013
Organization, Louisville, KY LLC, Holding company Adp of the SNF May 1, 2018
Forvis Mazars LLP Organization, Springfield, MO Adp of the SNF Nov 18, 2024
Eileen Thomas Individual Operational/Managerial Control Jun 16, 2025
Adp of the SNF Jun 16, 2025
Pharmacy Corporation of America-Ma Organization, Louisville, KY Corporation, Consulting firm Adp of the SNF May 1, 2018
Individual Adp of the SNF May 8, 2017
Brandon J Harpe Individual Corporate DirectorBoard Member Sep 1, 2020
Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Jackson County Schneck Memorial Hospital Organization, Seymour, IN 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 Organization, Los Angeles, CA LLC, Holding company Adp of the SNF May 1, 2013
Roland G Rapp Individual Operational/Managerial Control May 1, 2013
Marc Storey Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Elmer Joseph Steier III Individual Operational/Managerial Control May 1, 2013
LP Muncie Management, LLC Organization, Louisville, KY LLC, Management services company Operational/Managerial Control May 1, 2013
Adp of the SNF May 1, 2013
Organization, Los Angeles, CA Adp of the SNF Jan 1, 2025
Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Jan 1, 2025
Timothy H Lehner Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jjla LLC Organization, Louisville, KY LLC Adp of the SNF May 1, 2013
Organization, Los Angeles, CA LLC, Holding company 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.

All facility ownership & control disclosures 17

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

FacilityTypeRoleSince
Schneck Medical CenterSeymour, IN, CCN 150065 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Schneck Medical CenterSeymour, IN, CCN 15U065 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1966
Lutheran Community HomeSeymour, IN, CCN 155715 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jul 1, 2012
Jul 1, 2012
Hoosier Health & Living CommunityBrownstown, IN, CCN 155611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Signature Healthcare at ParkwoodLebanon, IN, CCN 155378 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
Signature Healthcare of Terre HauteTerre Haute, IN, CCN 155426 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
Crown Point Health CampusCrown Point, IN, CCN 155637 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Majestic Care of NewburghNewburgh, IN, CCN 155670 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Majestic Care of LafayetteLafayette, IN, CCN 155243 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Chateau Rehabilitation and Healthcare CenterFort Wayne, IN, CCN 155249 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Majestic Care of South BendSouth Bend, IN, CCN 155219 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 CenterOdon, IN, CCN 155539 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Apr 2, 2013
May 19, 2025
Signature Healthcare of BremenBremen, IN, CCN 155474 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 CampusSeymour, IN, CCN 155712 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Stonebridge Health CampusBedford, IN, CCN 155727 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Schneck Medical Center Home Health CareSeymour, IN, CCN 157155 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 24, 1940
Schneck Medical Center HospiceSeymour, IN, CCN 151529 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.

View all 77

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

Verify at the official NPI Registry.