Board of Commissioners of Newton County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

050005591 Issued in IN

Legal business name

BOARD OF COMMISSIONERS OF NEWTON COUNTY

Doing business as

George Ade Memorial Health Care Center

Practice address

3623 E State Road 16
Brook, IN 47922-8800

Phone

(219) 275-2531

Fax

(219) 275-7472

NPI assigned

Oct 12, 2006

Last updated

May 2, 2018By 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

Walter Ray Scott James

Title

Hfa

Phone

(219) 275-2531

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• George Ade Memorial Health 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 1811086044. Details of each certification follow.

• CCN 155719 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155719

Legal name

BOARD OF COMMISSIONERS OF NEWTON COUNTY

Doing business as

GEORGE ADE MEMORIAL HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Feb 4, 2003

Last certification

Jan 24, 2025

Beds

70

Ownership / control type

County

Organization structure

GovernmentNon-profit

Enrollment address

3623 E State Road 16
Brook, IN 47922-8800

Nursing home name

GEORGE ADE MEMORIAL HEALTH CARE CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Board of Commissioners of Newton County

  dba Newton County Ambulance Service

  • Land Ambulance
  • Lake Village, IN
  • NPI 1417955873

  7012176092

  Same PAC ID

Listed as

George Ade Memorial Health Care CenterCCN 155719 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Feb 4, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7061.1 residents per day on average

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

Newton Co Emer Ser3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Board of Commissioners of Newton County

  dba Newton County Ambulance Service

  • Land Ambulance
  • Lake Village, IN
  • NPI 1417955873
  NPD tax ID
• Newton County Health Department

  • Community Health Worker
  • Morocco, IN
  • NPI 1245523927
  NPD tax ID

All disclosed owners & managing parties 7

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.

• Board of Commissioners of Newton County

  dba Newton County Ambulance Service

  • Land Ambulance
  • Lake Village, IN
  • NPI 1417955873

  Operational/Managerial Control

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Board of Commissioners of Newton County

  dba Newton County Ambulance Service

  • Land Ambulance
  • Lake Village, IN
  • NPI 1417955873
  NPPES parent name

Affiliated clinicians 3

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

• Stephen Kyle Rogers, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1609879675

  Nursing home

  Care Compare affiliation
• Charles R. Tribbett, M.D.

  • Family Medicine Physician
  • Monticello, IN
  • NPI 1164404893

  Nursing home

  Care Compare affiliation
• Crisanto M Reyes, M.D.

  • Internal Medicine Physician
  • Milford, IL
  • NPI 1154461978

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1811086044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 E STATE ROAD 16",
            "city": "BROOK",
            "state": "IN",
            "postal_code": "479228800",
            "telephone_number": "219-275-2531",
            "fax_number": "219-275-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 E STATE ROAD 16",
            "city": "BROOK",
            "state": "IN",
            "postal_code": "479228800",
            "telephone_number": "219-275-2531",
            "fax_number": "219-275-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF COMMISSIONERS OF NEWTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "RAY SCOTT",
        "authorized_official_title_or_position": "HFA",
        "authorized_official_telephone_number": "219-275-2531"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "050005591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AIM",
            "identifier": "100267170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George Ade Memorial Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "George Ade Memorial Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Health Rensselaer, Inc. (Franciscan Brook Health Center)
• Tina Gregorash
• Jasper County Hospital (Brook Health Centre)
• Sarah Jo Myers, NP
• Marianne Nelson, M.D.

• Skilled Nursing Facility in Brook, IN
• Providers in Brook, 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 May 2, 2018; 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.