NPIMap

Organization Active NPI

Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Mulberry, IN
National Provider Identifier
1821334483
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HENRY COUNTY MEMORIAL HOSPITAL
Practice address
502 W Jackson St
Mulberry, IN 46058-9538
Phone
(765) 296-2911
Fax
(765) 296-9516
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Brian Ring
Title
President/Ceo
Phone
(765) 521-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

502 W Jackson St
Mulberry, IN 46058-9538

Mailing address

502 W Jackson St
Mulberry, IN 46058-9538
Phone (765) 296-2911

Other names 1

  • Mulberry Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130308000518 IN Part A Provider - Skilled Nursing Facility 6002724085 Practice locations: Mulberry, IN

Skilled nursing facility certification: CCN 155600

Legal name
HENRY COUNTY MEMORIAL HOSPITAL
Doing business as
MULBERRY HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 12, 1996
Last certification
May 8, 2024
Beds
159
Ownership / control type
Limited Liability Corporation
Organization structure
OtherNon-profit
Enrollment address
502 W Jackson St
Mulberry, IN 46058-9538
Nursing home name
MULBERRY HEALTH & REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mulberry Health & Rehabilitation CenterCCN 155600
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 12, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
159131.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Henry Co Mem Hosp47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Member organizations 19

Organizations listed as members of this organization in the National Provider Directory.

View all 19

Locations

502 W Jackson St
Mulberry, IN 46058
Phone (765) 296-2911

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
John D Pidgeon Individual Corporate DirectorBoard Member Jan 1, 2013
Operational/Managerial Control Jan 1, 2013
Trustee of the SNF Jan 1, 2013
MHRC, LLC Organization, Indianapolis, IN LLC Operational/Managerial Control Jan 1, 2013
John M Thomas Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Heidi M Wallar Individual Operational/Managerial Control Apr 1, 2023
Adp of the SNF Apr 1, 2023
Marion E Shore Individual Corporate DirectorBoard Member Jan 1, 2013
Trustee of the SNF Jan 1, 2013
Brian Ring Individual Corporate OfficerPresident/Ceo Aug 1, 2022
Operational/Managerial Control Aug 1, 2022
Henry County Memorial Hospital Organization, New Castle, IN 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Mulberry Health & Retirement Community, Inc Organization, Mulberry, IN Medical provider/supplier Operational/Managerial Control Jan 1, 2013
Deborah Ware Individual Corporate DirectorBoard Member Aug 27, 2021
Trustee of the SNF Aug 7, 2021
John Mutz Individual Operational/Managerial Control Jan 1, 2013
Managing Control - Governing BodyTreasurer Jan 1, 2013
Adp of the SNF Jan 1, 2013
Keven W Dodt Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Sheldon L Dynes Individual Corporate DirectorBoard Member Jan 1, 2013
Trustee of the SNF Jan 1, 2013

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 39

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

FacilityTypeRoleSince
Ascension St Vincent Heart CenterCarmel, IN, CCN 150153 Hospital Other (1%) Jul 1, 2017
Willows of RichmondRichmond, IN, CCN 155228 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Willows of New CastleNew Castle, IN, CCN 155089 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Hickory Creek at CrawfordsvilleCrawfordsville, IN, CCN 155419 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Hickory Creek at FranklinFranklin, IN, CCN 155442 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 27, 2025
Hickory Creek at PeruPeru, IN, CCN 155406 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 27, 2025
Hickory Creek at ScottsburgScottsburg, IN, CCN 155417 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 29, 2025
Hickory Creek at New CastleNew Castle, IN, CCN 155459 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
The Waters of MuncieMuncie, IN, CCN 155443 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2013
Hickory Creek at GreensburgGreensburg, IN, CCN 155353 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Hickory Creek at MadisonMadison, IN, CCN 155427 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 27, 2025
Hickory Creek at ColumbusColumbus, IN, CCN 155424 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Hickory Creek at ConnersvilleConnersville, IN, CCN 155434 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Hickory Creek at HuntingtonHuntington, IN, CCN 155543 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Bethel ManorEvansville, IN, CCN 155607 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Clinton House Rehabilitation and Healthcare CenterFrankfort, IN, CCN 155295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 1, 2014
Jun 3, 2025
Alpha Home-a Waters CommunityIndianapolis, IN, CCN 155717 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
Lakeland Rehab and Healthcare CenterAngola, IN, CCN 155596 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
University Park Rehabilitation and Healthcare CenterFort Wayne, IN, CCN 155567 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
Aspen Place Health CampusGreensburg, IN, CCN 155797 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Silver Oaks Health CampusColumbus, IN, CCN 155693 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Glen Oaks Health CampusNew Castle, IN, CCN 155759 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Forest Park Health CampusRichmond, IN, CCN 155762 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
The Springs of RichmondRichmond, IN, CCN 155843 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2019
The Waters of New CastleNew Castle, IN, CCN 155304 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Markle Health & RehabilitationMarkle, IN, CCN 155673 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Feb 1, 2022
May 7, 2025
Heritage House Rehabilitation & Health Care CenterConnersville, IN, CCN 155332 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2022
Apr 27, 2025
Stonebrooke Rehabilitation CenterNew Castle, IN, CCN 155160 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2023
May 7, 2025
Bethany VillageIndianapolis, IN, CCN 155237 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2023
Apr 28, 2025
Good Samaritan Home & Rehab CenterOakland City, IN, CCN 155561 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jun 1, 2023
Apr 29, 2025
Evansville Protestant HomeEvansville, IN, CCN 155768 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Fairway VillageIndianapolis, IN, CCN 155741 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024
HCMH Home CareNew Castle, IN, CCN 157430 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
Henry County Memorial Hospital HospiceNew Castle, IN, CCN 151564 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
New Castle PediatricsNew Castle, IN, CCN 153863 Rural health clinic 5% Or Greater Direct Ownership Interest Aug 2, 2003
New Castle Family and Internal MedicineNew Castle, IN, CCN 158520 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2011
New Castle Family & Internal Medicine at Northfield ParkNew Castle, IN, CCN 158525 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 28, 2017
Cambridge City Family Health PartnersCambridge City, IN, CCN 158556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 17, 2020
Middletown Family Health PartnersMiddletown, IN, CCN 158589 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 4, 2023

Facilities with the same owner 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1821334483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W JACKSON ST",
            "city": "MULBERRY",
            "state": "IN",
            "postal_code": "460589538",
            "telephone_number": "765-296-2911",
            "fax_number": "765-296-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W JACKSON ST",
            "city": "MULBERRY",
            "state": "IN",
            "postal_code": "460589538",
            "telephone_number": "765-296-2911",
            "fax_number": "765-296-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-521-1515"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mulberry Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mulberry Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mulberry, IN

Sources for this page

Verify at the official NPI Registry.