Hancock Regional Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

15-012548-1 Issued in IN

Legal business name

HANCOCK REGIONAL HOSPITAL

Practice address

14751 Carey Rd
Carmel, IN 46033-9084

Phone

(317) 575-2208

Fax

(317) 575-6102

NPI assigned

Feb 3, 2015

Organization subpart

No

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

Authorized official

Name

Steven V Long

Title

President/Ceo

Phone

(317) 462-5544

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bridgewater Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Skilled nursing facility certification: CCN 155790

Legal name

HANCOCK REGIONAL HOSPITAL

Doing business as

BRIDGEWATER HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 9, 2011

Last certification

Jul 22, 2024

Beds

120

Ownership / control type

Corporation

Multi-facility organization

Communicare Family of Companies

Organization structure

OtherNon-profit

Enrollment address

14751 Carey Rd
Carmel, IN 46033-9084

Nursing home name

BRIDGEWATER HEALTHCARE CENTER

Affiliated entity

COMMUNICARE HEALTH

Listed as

Bridgewater Healthcare CenterCCN 155790

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 9, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120111.3 residents per day on average

Chain

Communicare Health110 facilities in the chain

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

Greenfield Family Medic44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

• Hancock OB Anesthesia

  • Anesthesiology Physician
  • Greenfield, IN
  • NPI 1093846941
  NPD tax ID
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1013358563
  NPD tax ID
• Hancock Regional Hospital

  • Durable Medical Equipment & Medical Supplies
  • Greenfield, IN
  • NPI 1023402567
  NPD tax ID
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1043582554
  NPD tax ID
• Hancock Regional Hospital

  • Health Service Clinic/Center
  • Greenfield, IN
  • NPI 1124894241
  NPD tax ID
• Hancock Regional Hospital

  • Health Service Clinic/Center
  • Greenfield, IN
  • NPI 1154197267
  NPD tax ID
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Anderson, IN
  • NPI 1215045000
  NPD tax ID
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Westfield, IN
  • NPI 1245674423
  NPD tax ID
• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1255418356
  NPD tax ID
• Hancock Regional Hospital

  • General Acute Care Hospital
  • McCordsville, IN
  • NPI 1255752358
  NPD tax ID
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1255753141
  NPD tax ID
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Greenfield, IN
  • NPI 1306044383
  NPD tax ID

All disclosed owners & managing parties 15

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.

• Marwan A. Mustaklem

  • Internal Medicine Physician
  • Fishers, IN
  • NPI 1750357513

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 30

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

Facilities with the same owner 29

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

• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1013358563

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1043582554

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Anderson, IN
  • NPI 1215045000

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Westfield, IN
  • NPI 1245674423

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1255753141

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Greenfield, IN
  • NPI 1306044383

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1326064882

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Muncie, IN
  • NPI 1326223264

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Greenwood, IN
  • NPI 1366883811

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1376965269

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Elkhart, IN
  • NPI 1396167284

  Hancock Regional Hospital

  CMS ownership
• Hancock Regional Hospital

  • Skilled Nursing Facility
  • Goshen, IN
  • NPI 1417991415

  Hancock Regional Hospital

  CMS ownership

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1831589498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14751 CAREY RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339084",
            "telephone_number": "317-575-2208",
            "fax_number": "317-575-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14751 CAREY RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339084",
            "telephone_number": "317-575-2208",
            "fax_number": "317-575-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-462-5544"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "15-012548-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201023760A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bridgewater Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Hammond
• Matthew John Hammond, DO
• Jennifer J Hamner, DPT, DO
• Eric W Han, MD
• Michael Myung-Sup Han, MD
• Whitney Hancock
• Hand2Heart LLC
• Candice Hanks
• Heather Hannaford
• Elizabeth Hannon

• All providers in Carmel, IN
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.