Organization Active NPI

Adams County Memorial Hospital

  • Skilled Nursing Facility
  • South Bend, IN
National Provider Identifier
1821185356
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
17-001201-1 Issued in IN
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

Updated by the provider on Dec 19, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100380860MedicaidIN

Other names 1

  • Holy Cross Rehabilitation and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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 WellnessCCN 155506
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jan 4, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
16869.9 residents per day on average
Chain
Trinity Health19 facilities in the chain

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
15D0357490Holy Cross Rehabilitation and Wellness17475 Dugdale Dr, South Bend, IN 46635Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Adams Co Memorial Hosp72 organizations share this tax ID, including this one

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.

View all 23

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.

NameRoleSinceShare
Ray Anderson Individual Operational/Managerial Control Jan 1, 2025
Adams County Memorial Hospital Organization, Decatur, IN Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2017 100%
Trinity Continuing Care Services Organization, Livonia, MI LLC, Management services company Adp of the SNF Aug 1, 2017
Scott E Lehman Individual Operational/Managerial Control Jul 14, 2020
Trustee of the SNF Jul 14, 2020
Marcus a Bowens Individual Operational/Managerial Control Apr 1, 2022
Benjamin R Carter Individual Operational/Managerial Control Jan 1, 2025
Abigail M Battjes Individual Operational/Managerial Control Aug 26, 2022
Adp of the SNF Aug 26, 2022
Larry Macklin Individual Operational/Managerial Control Aug 1, 2017
Trustee of the SNF Aug 1, 2017
Daniel Roth Individual Operational/Managerial Control Jan 1, 2025
Dane Wheeler Individual Corporate OfficerCfo Sep 1, 2016 100%
Operational/Managerial Control Aug 1, 2017
Joshua Moore Individual Operational/Managerial Control Jan 1, 2025
Russell W Flueckiger Individual Operational/Managerial Control Aug 1, 2017
Trustee of the SNF Aug 1, 2017
David McIntire Individual Operational/Managerial Control Jan 1, 2019
Trustee of the SNF Jan 1, 2019
Daniel Drake Individual Operational/Managerial Control Jan 1, 2025
Candice Borne-Bauman Individual Operational/Managerial Control Jan 1, 2019
Trustee of the SNF Jan 1, 2019
Kyle Sprunger Individual Corporate OfficerAssistant Treasurer Jan 1, 2018
Operational/Managerial Control Jan 1, 2018
Scott T Smith Individual Corporate OfficerPresident Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Daniel Isacksen Individual Operational/Managerial Control Jan 1, 2025
Trinity Continuing Care Services Indiana Inc Organization, Livonia, MI Corporation, Management services company Operational/Managerial Control Aug 1, 2017
Adp of the SNF Aug 1, 2017
Christine Seppala Individual 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.

All facility ownership & control disclosures 59

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

FacilityTypeRoleSince
Adams County Memorial HospitalDecatur, IN, CCN 151330 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams County Memorial HospitalDecatur, IN, CCN 15Z330 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams WoodcrestDecatur, IN, CCN 155747 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 HeritageMonroeville, IN, CCN 155729 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 ManorElkhart, IN, CCN 155086 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
May 1, 2012
May 1, 2012
Warsaw MeadowsWarsaw, IN, CCN 155566 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Colonial Nursing HomeCrown Point, IN, CCN 155733 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2012
Jun 1, 2012
Lutheran Life VillagesKendallville, IN, CCN 155744 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Hawthorne Healthcare CenterIndianapolis, IN, CCN 155780 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Lutheran Life VillagesFort Wayne, IN, CCN 155586 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Kendallville ManorKendallville, IN, CCN 155482 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2012
Oct 1, 2012
Northwest Manor Health Care CenterIndianapolis, IN, CCN 155041 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Cloverleaf of KnightsvilleKnightsville, IN, CCN 155542 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2012
Jul 1, 2012
Majestic Care of GoshenGoshen, IN, CCN 155689 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Feb 19, 2013
Feb 19, 2013
Caroleton Healthcare CenterConnersville, IN, CCN 155387 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
May 1, 2013
May 1, 2013
Christian Care Retirement CommunityBluffton, IN, CCN 155701 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2013
Jan 1, 2025
Cathedral Health Care CenterJasper, IN, CCN 155720 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Nov 1, 2014
Nov 1, 2014
River Terrance Health Care CenterBluffton, IN, CCN 155726 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2014
Lutheran Life VillagesFort Wayne, IN, CCN 155800 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
The CedarsLeo, IN, CCN 155796 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2015
Jun 1, 2015
Chesterton ManorChesterton, IN, CCN 155246 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Aug 1, 2015
Aug 1, 2015
Yorktown ManorYorktown, IN, CCN 155238 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Aug 1, 2015
Aug 1, 2015
Sacred Heart VillageAvilla, IN, CCN 155512 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
Majestic Care of New HavenNew Haven, IN, CCN 155207 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Nov 1, 2015
Nov 1, 2015
Chalet Rehabilitation and Healthcare CenterIndianapolis, IN, CCN 155336 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Nov 1, 2015
Jul 1, 2013
Silver Memories Health CareVersailles, IN, CCN 155847 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 1, 2015
Oct 1, 2015
Saint Anne HomeFort Wayne, IN, CCN 155349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2016
Sep 1, 2016
Swiss VillageBerne, IN, CCN 155707 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2018
Oak VillageOaktown, IN, CCN 155714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2017
Dec 1, 2017
Shady Nook Care CenterLawrenceburg, IN, CCN 155525 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2020
Sep 1, 2020
Envive of LawrenceburgLawrenceburg, IN, CCN 155061 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2021
Dec 1, 2021
The Waters of GeorgetownGeorgetown, IN, CCN 155770 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Envive of BerneBerne, IN, CCN 155473 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2021
Dec 1, 2021
Envive of HuntingtonHuntington, IN, CCN 155531 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of AndersonAnderson, IN, CCN 155690 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of IndianapolisIndianapolis, IN, CCN 155077 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of Hartford CityHartford City, IN, CCN 155699 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Envive of SullivanSullivan, IN, CCN 155468 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Heritage Pointe of HuntingtonHuntington, IN, CCN 155692 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2022
Jun 1, 2022
Heritage Pointe of WarrenWarren, IN, CCN 155705 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2022
Jun 1, 2022
Heritage Pointe of Fort WayneFort Wayne, IN, CCN 155828 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2022
Jun 1, 2022
Envive of Beech GroveBeech Grove, IN, CCN 155859 Skilled nursing facility Direct Ownership Interest (100%) Oct 1, 2022
River Bend Nursing and RehbilitationEvansville, IN, CCN 155621 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2022
Sep 1, 2022
Manderley Health Care CenterOsgood, IN, CCN 155728 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2022
Dec 1, 2022
Envive of EvansvilleEvansville, IN, CCN 155716 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2023
Jul 1, 2023
Harrison Healthcare CenterCorydon, IN, CCN 155657 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2023
Dec 1, 2023
Rolling Hills Healthcare CenterNew Albany, IN, CCN 155488 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2023
Dec 1, 2023
Sellersburg Healthcare CenterSellersburg, IN, CCN 155659 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2023
Dec 1, 2023
Wedgewood Healthcare CenterClarksville, IN, CCN 155265 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 CenterCorydon, IN, CCN 155312 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 1, 2023
Dec 1, 2023
Chase CenterLogansport, IN, CCN 155710 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024
Pilgrim ManorPlymouth, IN, CCN 155073 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2024
Jan 1, 2025
Envive of MuncieMuncie, IN, CCN 155549 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jan 1, 2025
Jan 1, 2025
Envive of LibertyLiberty, IN, CCN 155507 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jan 1, 2025
Jan 1, 2025
Monroe Family MedicineMonroe, IN, CCN 158526 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams Statcare and Behavioral HealthDecatur, IN, CCN 158537 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Decatur Family Medicine - Woodcrest ConnectionDecatur, IN, CCN 158536 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Adams Medical Group - High StreetDecatur, IN, CCN 158555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Adams Medical Group - GenevaGeneva, IN, CCN 158599 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.

View all 57

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

Verify at the official NPI Registry.