Henry County Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-000402-2 Issued in IN

Legal business name

HENRY COUNTY MEMORIAL HOSPITAL

Doing business as

Hickory Creek at Kendallville

Practice address

1433 S Main St
Kendallville, IN 46755-2104

Phone

(260) 347-3612

Fax

(260) 349-0336

NPI assigned

Jul 2, 2006

Last updated

Aug 17, 2022By 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

Mr. Brian Ring

Title

President/Ceo

Phone

(765) 521-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hickory Creek at Kendallville Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Henry County Memorial Hospital

  dba Stonebrooke Rehabilitation Center

  • Skilled Nursing Facility
  • New Castle, IN
  • NPI 1801088646

  Member Of

  NPD member

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1871522649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 E. 82ND ST.",
            "address_2": "SUITE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501562",
            "telephone_number": "317-570-0266",
            "fax_number": "317-570-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 S MAIN ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552104",
            "telephone_number": "260-347-3612",
            "fax_number": "260-349-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-000402-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Creek at Kendallville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hickory Creek at Kendallville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harrison County Hospital (Orchard Pointe Health Campus)
• Catherine Hause, FNP-BC CWOCN
• Amber Hays, DPT
• Grace Hayward, RBT
• Emily Jane Hefty
• Jana Irene Hernandez
• Melissa Hillman
• Jacob D Hoger, PHARMD, MSPGX, RPH
• Holliday Chiropractic Care, LLC
• David Lee Holliday, D.C.

• Skilled Nursing Facility in Kendallville, IN
• Providers in Kendallville, 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 Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.