Active NPI
Adams County Memorial Hospital
- Skilled Nursing Facility
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 17-001201-1
- Legal business name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Practice address
- 17475 Dugdale Dr
South Bend, IN 46635-1545 - Phone
- (219) 271-3990
- Fax
- (219) 271-3981
- NPI assigned
- Oct 6, 2006
- 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
- Mr. Kyle Sprunger
- Title
- Assistant Cfo
- Phone
- (260) 724-2145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 17-001201-1 | IN | Primary |
Addresses
Primary practice location
17475 Dugdale Dr
South Bend, IN 46635-1545
Mailing address
1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100380860 | Medicaid | IN |
Other names 1
- Holy Cross Rehabilitation and Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170918003421 | IN | Part A Provider - Skilled Nursing Facility | 0941198253 | Practice locations: South Bend, IN |
Skilled nursing facility certification: CCN 155506
- Legal name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Doing business as
- HOLY CROSS REHABILITATION AND WELLNESS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 4, 1994
- Last certification
- Apr 28, 2025
- Beds
- 168
- Ownership / control type
- Other Nonprofit
- Multi-facility organization
- Adam Co. Memorial Hospital
- Most recent change of ownership
- Aug 1, 2017
- Organization structure
- Government
- Enrollment address
- 17475 Dugdale Dr
South Bend, IN 46635-1545 - Nursing home name
- HOLY CROSS REHABILITATION AND WELLNESS
- Affiliated entity
- TRINITY HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Holy Cross Rehabilitation and Wellness
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jan 4, 1994
- Medicare certification status
- Active
- Certified beds
- 168
- Chain
- Trinity Health
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 |
|---|---|---|---|
| 15D0357490 | Holy Cross Rehabilitation and Wellness | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Adams Co Memorial Hosp
Organizations with this tax ID in the same state 23
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Skilled Nursing Facility
- Connersville, IN
- NPI 1619164001
-
- Skilled Nursing Facility
- Liberty, IN
- NPI 1619176641
-
- Skilled Nursing Facility
- Knightsville, IN
- NPI 1659454148
-
- Skilled Nursing Facility
- Clarksville, IN
- NPI 1689096018
-
- Skilled Nursing Facility
- Yorktown, IN
- NPI 1710362157
-
- Skilled Nursing Facility
- Evansville, IN
- NPI 1730177551
-
- Skilled Nursing Facility
- Berne, IN
- NPI 1730256991
-
- Nursing Facility/Intermediate Care Facility
- Monroeville, IN
- NPI 1760519268
-
- Skilled Nursing Facility
- New Albany, IN
- NPI 1770905101
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1801205240
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1821092347
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1861713612
Locations
7520 S US Highway 421
San Pierre, IN 46374
Phone (219) 828-4111
Ownership & related parties
All disclosed owners & managing parties 20
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 |
|---|---|---|---|
| Ray Anderson | Operational/Managerial Control | Jan 1, 2025 | |
| Adams County Memorial Hospital | 5% Or Greater Direct Ownership Interest | Aug 1, 2017 | 100% |
| Trinity Continuing Care Services | Adp of the SNF | Aug 1, 2017 | |
| Scott E Lehman | Operational/Managerial Control | Jul 14, 2020 | |
| Trustee of the SNF | Jul 14, 2020 | ||
| Marcus a Bowens | Operational/Managerial Control | Apr 1, 2022 | |
| Benjamin R Carter | Operational/Managerial Control | Jan 1, 2025 | |
| Abigail M Battjes | Operational/Managerial Control | Aug 26, 2022 | |
| Adp of the SNF | Aug 26, 2022 | ||
| Larry Macklin | Operational/Managerial Control | Aug 1, 2017 | |
| Trustee of the SNF | Aug 1, 2017 | ||
| Daniel Roth | Operational/Managerial Control | Jan 1, 2025 | |
| Dane Wheeler | Corporate Officer | Sep 1, 2016 | 100% |
| Operational/Managerial Control | Aug 1, 2017 | ||
| Joshua Moore | Operational/Managerial Control | Jan 1, 2025 | |
| Russell W Flueckiger | Operational/Managerial Control | Aug 1, 2017 | |
| Trustee of the SNF | Aug 1, 2017 | ||
| David McIntire | Operational/Managerial Control | Jan 1, 2019 | |
| Trustee of the SNF | Jan 1, 2019 | ||
| Daniel Drake | Operational/Managerial Control | Jan 1, 2025 | |
| Candice Borne-Bauman | Operational/Managerial Control | Jan 1, 2019 | |
| Trustee of the SNF | Jan 1, 2019 | ||
| Kyle Sprunger | Corporate Officer | Jan 1, 2018 | |
| Operational/Managerial Control | Jan 1, 2018 | ||
| Scott T Smith | Corporate Officer | Jan 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Daniel Isacksen | Operational/Managerial Control | Jan 1, 2025 | |
| Trinity Continuing Care Services Indiana Inc | Operational/Managerial Control | Aug 1, 2017 | |
| Adp of the SNF | Aug 1, 2017 | ||
| Christine Seppala | Operational/Managerial Control | Jan 1, 2025 |
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- South Bend, IN
- NPI 1336400167
Adp of the SNF, Operational/Managerial Control
-
- Optometrist
- Berne, IN
- NPI 1619977113
Operational/Managerial Control, Trustee of the SNF
-
- Skilled Nursing Facility
- White Lake, MI
- NPI 1235223405
Adp of the SNF
All facility ownership & control disclosures 59
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Adams County Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams County Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams Woodcrest | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Nov 22, 2005 Nov 22, 2005 Nov 22, 2005 |
| Adams Heritage | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Apr 28, 2004 Apr 28, 2004 Apr 28, 2004 |
| Woodland Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2012 May 1, 2012 |
| Warsaw Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Colonial Nursing Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2012 Jun 1, 2012 |
| Lutheran Life Villages | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Hawthorne Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Lutheran Life Villages | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Kendallville Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2012 Oct 1, 2012 |
| Northwest Manor Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Cloverleaf of Knightsville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Majestic Care of Goshen | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 19, 2013 Feb 19, 2013 |
| Caroleton Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2013 May 1, 2013 |
| Christian Care Retirement Community | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2013 Jan 1, 2025 |
| Cathedral Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2014 Nov 1, 2014 |
| River Terrance Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2014 |
| Lutheran Life Villages | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| The Cedars | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2015 Jun 1, 2015 |
| Chesterton Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Yorktown Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Sacred Heart Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2015 |
| Majestic Care of New Haven | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2015 Nov 1, 2015 |
| Chalet Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2015 Jul 1, 2013 |
| Silver Memories Health Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 1, 2015 Oct 1, 2015 |
| Saint Anne Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2016 Sep 1, 2016 |
| Swiss Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2018 |
| Oak Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2017 Dec 1, 2017 |
| Shady Nook Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2020 Sep 1, 2020 |
| Envive of Lawrenceburg | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2021 Dec 1, 2021 |
| The Waters of Georgetown | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Envive of Berne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2021 Dec 1, 2021 |
| Envive of Huntington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Anderson | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Indianapolis | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Hartford City | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Envive of Sullivan | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Heritage Pointe of Huntington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Heritage Pointe of Warren | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Heritage Pointe of Fort Wayne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Envive of Beech Grove | Skilled nursing facility | Direct Ownership Interest (100%) | Oct 1, 2022 |
| River Bend Nursing and Rehbilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2022 Sep 1, 2022 |
| Manderley Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2022 Dec 1, 2022 |
| Envive of Evansville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2023 Jul 1, 2023 |
| Harrison Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Rolling Hills Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Sellersburg Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Wedgewood Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Dec 1, 2023 Dec 1, 2023 Dec 31, 2025 |
| Indian Creek Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Chase Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Pilgrim Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2024 Jan 1, 2025 |
| Envive of Muncie | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
| Envive of Liberty | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
| Monroe Family Medicine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams Statcare and Behavioral Health | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Decatur Family Medicine - Woodcrest Connection | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Adams Medical Group - High Street | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2019 |
| Adams Medical Group - Geneva | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2025 |
Facilities with the same owner 57
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Sullivan, IN
- NPI 1013193903
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Leo, IN
- NPI 1023003118
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Elkhart, IN
- NPI 1023096138
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Corydon, IN
- NPI 1033531462
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Plymouth, IN
- NPI 1093715468
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Warsaw, IN
- NPI 1114125689
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Logansport, IN
- NPI 1144220500
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Adams County Memorial Hospital
-
- Skilled Nursing Facility
- Jasper, IN
- NPI 1235205816
Adams County Memorial Hospital
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1821185356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MERCER AVE",
"city": "DECATUR",
"state": "IN",
"postal_code": "467332303",
"telephone_number": "260-724-2145",
"fax_number": "260-728-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17475 DUGDALE DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351545",
"telephone_number": "219-271-3990",
"fax_number": "219-271-3981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAMS COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "SPRUNGER",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "ASSISTANT CFO",
"authorized_official_telephone_number": "260-724-2145",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "17-001201-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100380860",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Holy Cross Rehabilitation and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.