Active NPI
Henry County Memorial Hospital
Doing business as Aperion Care University Park
- Skilled Nursing Facility
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 08-000459-1
- Legal business name
- HENRY COUNTY MEMORIAL HOSPITAL
- Doing business as
- Aperion Care University Park
- Practice address
- 1400 Medical Park Dr
Fort Wayne, IN 46825-5832 - Phone
- (260) 484-1558
- Fax
- (260) 484-1550
- NPI assigned
- Mar 6, 2007
- Last updated
- Aug 17, 2022
- 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
- Brian Ring
- Title
- President/Ceo
- Phone
- (765) 521-1515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 08-000459-1 | IN | Primary |
Addresses
Primary practice location
1400 Medical Park Dr
Fort Wayne, IN 46825-5832
Mailing address
1400 Medical Park Dr
Fort Wayne, IN 46825-5832
Phone (260) 484-1558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100289700 | Medicaid | IN |
Other names 1
- Aperion Care University Park
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141208001344 | IN | Part A Provider - Skilled Nursing Facility | 6002724085 | Practice locations: Fort Wayne, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1871623041. Details of each certification follow.
Skilled nursing facility certification: CCN 155567
- Legal name
- HENRY COUNTY MEMORIAL HOSPITAL
- Doing business as
- UNIVERSITY PARK REHABILITATION AND HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1995
- Last certification
- Apr 11, 2025
- Beds
- 104
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Castle Healthcare
- Organization structure
- Government
- Enrollment address
- 1400 Medical Park Dr
Fort Wayne, IN 46825-5832
Care Compare: Nursing home
Medicare Care Compare- Listed as
- University Park Rehabilitation and Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 1, 1995
- Medicare certification status
- Active
- Certified beds
- 104
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 15D0358490 | University Park Rehabilitation and | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Henry County Memorial Hospital
Other organizations with this tax ID 47
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Waters of Muncie
- Skilled Nursing Facility
- Muncie, IN
- NPI 1003853557
-
dba Hickory Creek at Connersville
- Skilled Nursing Facility
- Connersville, IN
- NPI 1013946979
-
dba Hickory Creek at Scottsburg
- Skilled Nursing Facility
- Scottsburg, IN
- NPI 1033148820
-
dba Hickory Creek at Franklin
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053340919
-
- Family Medicine Physician
- Spiceland, IN
- NPI 1083872840
-
dba Hickory Creek at Madison
- Skilled Nursing Facility
- Madison, IN
- NPI 1104855980
-
dba Willows of New Castle
- Skilled Nursing Facility
- New Castle, IN
- NPI 1124399910
-
dba The Waters of Muncie
- Skilled Nursing Facility
- Muncie, IN
- NPI 1134489339
-
dba Hickory Creek at Peru
- Skilled Nursing Facility
- Peru, IN
- NPI 1164451944
-
dba New Castle Family & Internal Medicine at Northfield Park
- Rural Health Clinic/Center
- New Castle, IN
- NPI 1164949947
-
dba The Waters of New Castle
- Skilled Nursing Facility
- New Castle, IN
- NPI 1225397417
-
dba New Castle Walk-In Care
- Family Medicine Physician
- New Castle, IN
- NPI 1295159101
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Buena Vista Care Center
- Skilled Nursing Facility
- Santa Barbara, CA
- NPI 1205977311
Member Of
Locations
3720 N Norwood Rd
Huntington, IN 46750
Phone (206) 356-1252
Ownership & related parties
All disclosed owners & managing parties 22
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 |
|---|---|---|---|
| John D Pidgeon | Corporate Officer | Sep 4, 2014 | |
| Corporate Director | Sep 4, 2014 | ||
| Managing Control - Governing Body | Jan 1, 2013 | ||
| Trustee of the SNF | Jan 1, 2013 | ||
| Chaya Singer | Trustee of the SNF | Jan 1, 2025 | |
| Mrs Hoosier Trust | Adp of the SNF | Jun 18, 2025 | |
| Shai Berdugo | Operational/Managerial Control | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Tsdama in Trust | Adp of the SNF | Jun 18, 2025 | |
| Brent Swan | Operational/Managerial Control | Mar 19, 2024 | |
| Adp of the SNF | Mar 19, 2024 | ||
| LT Care Acquisition Corp | Operational/Managerial Control | Nov 1, 2020 | |
| Adp of the SNF | Nov 1, 2020 | ||
| Marion E Shore | Corporate Director | Sep 4, 2014 | |
| Managing Control - Governing Body | Jan 1, 2013 | ||
| Trustee of the SNF | Jan 1, 2013 | ||
| Brian Ring | Corporate Officer | Aug 1, 2022 | |
| Operational/Managerial Control | Aug 1, 2022 | ||
| Managing Control - Governing Body | Aug 1, 2022 | ||
| Clayshire LLC | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| University Park Realty LLC | 5% Or Greater Mortgage Interest | Nov 1, 2020 | 100% |
| Adp of the SNF | Nov 1, 2020 | ||
| Andrew Offerle | Operational/Managerial Control | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Ecfjc in Trust | Adp of the SNF | Jun 18, 2025 | |
| Henry County Memorial Hospital | 5% Or Greater Direct Ownership Interest | Sep 4, 2014 | 100% |
| Deborah Ware | Corporate Director | Aug 27, 2021 | |
| Managing Control - Governing Body | Aug 27, 2021 | ||
| Trustee of the SNF | Aug 27, 2021 | ||
| Forvis Mazars LLP | Adp of the SNF | Jan 1, 2023 | |
| Capital Finance LLC | Adp of the SNF | Jan 1, 2023 | |
| Nesanel B Davis | Trustee of the SNF | Jan 1, 2025 | |
| University Park Rehabilitation and Healthcare Center LLC | Operational/Managerial Control | Nov 1, 2020 | |
| Adp of the SNF | Nov 1, 2020 | ||
| Castle Indiana Management LLC | Adp of the SNF | Jan 1, 2023 | |
| Sheldon L Dynes | Corporate Officer | Sep 4, 2014 | |
| Corporate Director | Sep 4, 2014 | ||
| Managing Control - Governing Body | Jan 1, 2013 | ||
| Trustee of the SNF | Jan 1, 2013 | ||
| Menashe Neuman | Trustee of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1598785149
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 39
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension St Vincent Heart Center | Hospital | Other (1%) | Jul 1, 2017 |
| Willows of Richmond | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Willows of New Castle | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Mulberry Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2013 |
| Hickory Creek at Crawfordsville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 May 7, 2025 |
| Hickory Creek at Franklin | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 Apr 27, 2025 |
| Hickory Creek at Peru | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 Apr 27, 2025 |
| Hickory Creek at Scottsburg | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 Apr 29, 2025 |
| Hickory Creek at New Castle | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 May 7, 2025 |
| The Waters of Muncie | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 19, 2013 |
| Hickory Creek at Greensburg | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2013 |
| Hickory Creek at Madison | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 Apr 27, 2025 |
| Hickory Creek at Columbus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 May 7, 2025 |
| Hickory Creek at Connersville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2013 |
| Hickory Creek at Huntington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2013 May 7, 2025 |
| Bethel Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2013 |
| Clinton House Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 1, 2014 Jun 3, 2025 |
| Alpha Home-a Waters Community | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 4, 2014 |
| Lakeland Rehab and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 4, 2014 |
| Aspen Place Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Silver Oaks Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Glen Oaks Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Forest Park Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| The Springs of Richmond | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2019 |
| The Waters of New Castle | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2020 |
| Markle Health & Rehabilitation | 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 Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2022 Apr 27, 2025 |
| Stonebrooke Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2023 May 7, 2025 |
| Bethany Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2023 Apr 28, 2025 |
| Good Samaritan Home & Rehab Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jun 1, 2023 Apr 29, 2025 |
| Evansville Protestant Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Fairway Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2024 |
| HCMH Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1990 |
| Henry County Memorial Hospital Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1990 |
| New Castle Pediatrics | Rural health clinic | 5% Or Greater Direct Ownership Interest | Aug 2, 2003 |
| New Castle Family and Internal Medicine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2011 |
| New Castle Family & Internal Medicine at Northfield Park | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 28, 2017 |
| Cambridge City Family Health Partners | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 17, 2020 |
| Middletown Family Health Partners | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 4, 2023 |
Facilities with the same owner 53
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Chalet Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Clayshire LLC, LT Care Acquisition Corp
-
dba Envive of Huntington
- Skilled Nursing Facility
- Huntington, IN
- NPI 1235315425
LT Care Acquisition Corp
-
dba Envive of Anderson
- Skilled Nursing Facility
- Anderson, IN
- NPI 1386661320
LT Care Acquisition Corp
-
dba Waldron Health and Rehab Center
- Skilled Nursing Facility
- Waldron, IN
- NPI 1407847361
Clayshire LLC, LT Care Acquisition Corp
-
dba Envive of Beech Grove
- Skilled Nursing Facility
- Beech Grove, IN
- NPI 1417670324
LT Care Acquisition Corp
-
dba Envive of Indianapolis
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1477626026
LT Care Acquisition Corp
-
dba Chateau Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1518308295
Clayshire LLC, LT Care Acquisition Corp
-
dba Envive of Muncie
- Skilled Nursing Facility
- Muncie, IN
- NPI 1609981372
LT Care Acquisition Corp
-
dba Envive of Liberty
- Skilled Nursing Facility
- Liberty, IN
- NPI 1619176641
LT Care Acquisition Corp
-
dba Envive of Evansville
- Skilled Nursing Facility
- Evansville, IN
- NPI 1730177551
LT Care Acquisition Corp
-
dba Envive of Berne
- Skilled Nursing Facility
- Berne, IN
- NPI 1730256991
LT Care Acquisition Corp
-
dba Envive of Lawrenceburg
- Skilled Nursing Facility
- Lawrenceburg, IN
- NPI 1902920069
LT Care Acquisition Corp
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660694400000",
"number": "1871623041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MEDICAL PARK DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255832",
"telephone_number": "260-484-1558",
"fax_number": "260-484-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MEDICAL PARK DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255832",
"telephone_number": "260-484-1558",
"fax_number": "260-484-1550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"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": "IN",
"license": "08-000459-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100289700",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aperion Care University Park",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- 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.
- 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.