NPIMap

Organization Active NPI

Jackson County Schneck Memorial Hospital

Doing business as Schneck Medical Center Hospice

  • Community Based Hospice Care Agency
  • Seymour, IN
National Provider Identifier
1801858568
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
007970 Issued in IN
Legal business name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
Schneck Medical Center Hospice
Practice address
415 S Walnut St
Seymour, IN 47274-2991
Phone
(812) 522-0508
Fax
(812) 522-0541
NPI assigned
Apr 6, 2006
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Mann
Title
VP Finance and Cfo
Phone
(812) 522-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 007970 IN Primary

Addresses

Primary practice location

415 S Walnut St
Seymour, IN 47274-2991

Mailing address

411 W Tipton St
Seymour, IN 47274
Phone (812) 522-0460

Other identifiers 1

IdentifierTypeStateIssuer
200131630AMedicaidIN

Other names 1

  • Schneck Medical Center Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120119000312 IN Part A Provider - Hospice 8224004585 Practice locations: Seymour, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801858568. Details of each certification follow.

Hospice certification: CCN 151529

Legal name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Doing business as
SCHNECK MEDICAL CENTER HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 9, 1994
Last certification
Aug 6, 2016
Ownership / control type
Government - State
Organization structure
OtherNon-profit
Enrollment address
415 S Walnut St
Seymour, IN 47274-2991

Care Compare: Hospice

Medicare Care Compare
Listed as
Schneck Medical Center HospiceCCN 151529 · All quality measures
Ownership
Government
Certified
Dec 9, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Memorial34 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 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jack L McCory Individual Corporate DirectorBoard Member Jan 1, 2009
Rick L Smith Individual Corporate DirectorBoard Chairman Jan 1, 1998
Andrew B Markel Individual Corporate DirectorBoard Member Jan 1, 2017
Pamela H Snook-Tidd Individual W-2 Managing EmployeeMD; Nov 17, 2009
Courtney B Kleber Individual Corporate DirectorBoard Member Jan 1, 2013
Deborah a Mann Individual Corporate OfficerTreasurer/Vice President Fiscal Feb 10, 2014
W-2 Managing EmployeeVice President Fiscal Services/T Dec 10, 2014
Rachel L Bullard Individual W-2 Managing EmployeeAd; Apr 1, 2024
Matthew K Reedy Individual Corporate DirectorBoard Member Jan 1, 2011
Terrence L Gilliland Individual Corporate DirectorBoard Member Jan 1, 2011
Susan D Bevers Individual Corporate DirectorBoard Member Dec 15, 2014
Eric D Fish Individual Corporate OfficerPresident/Ceo Sep 1, 2020
W-2 Managing EmployeePresident/Ceo Sep 1, 2020
Brandon J Harpe Individual Corporate DirectorBoard Member Jan 1, 2020
Jackson County Schneck Memorial Hospital Organization, Seymour, IN 5% Or Greater Direct Ownership Interest Jun 24, 1940 100%
Robert D Gillaspy Individual Corporate DirectorBoard Member Jan 1, 2017

Owners & managing parties with NPI records 2

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 of MuncieMuncie, IN, CCN 155242 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 May 1, 2013
May 1, 2013
Oct 3, 2025
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

Facilities with the same owner 17

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

View all 17

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1801858568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-522-0460",
            "fax_number": "812-522-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S WALNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742991",
            "telephone_number": "812-522-0508",
            "fax_number": "812-522-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VP FINANCE AND CFO",
        "authorized_official_telephone_number": "812-522-2349"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "007970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200131630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schneck Medical Center Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.