Henry County Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-000246-1 Issued in IN

Legal business name

HENRY COUNTY MEMORIAL HOSPITAL

Doing business as

West Bend Nursing and Rehabilitation

Practice address

4600 W Washington St
South Bend, IN 46619

Phone

(574) 282-1294

Fax

(574) 251-2260

NPI assigned

Oct 18, 2006

Last updated

Jun 25, 2026By 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

Steven Van Camp, CPA

Title

Ceo of ASC

Phone

(317) 788-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Bend Nursing and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871674556. Details of each certification follow.

• CCN 155355 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155355

Legal name

THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

Doing business as

WEST BEND NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 8, 1990

Last certification

Dec 9, 2024

Beds

177 (157 certified)

Ownership / control type

Corporation

Multi-facility organization

American Senior Communities

Most recent change of ownership

Mar 1, 2026

Organization structure

OtherNon-profit

Incorporated

Jan 7, 1952 in IN

Enrollment address

4600 W Washington St
South Bend, IN 46619-2320

Listed as

West Bend Nursing and RehabilitationCCN 155355 · All quality measures

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

Mar 8, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15765.2 residents per day on average

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

Wishard Hospital123 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.

• Health & Hospital Corporation

  dba Marion County Health Department

  • Public Health or Welfare Agency
  • Indianapolis, IN
  • NPI 1922133461
  NPD tax ID
• Health & Hospital Corporation

  dba Marion County Health Department

  • Public Health or Welfare Agency
  • Indianapolis, IN
  • NPI 1982713525
  NPD tax ID
• Health and Hospital Corporation

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1891004057
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Greenwood Meadows

  • Skilled Nursing Facility
  • Greenwood, IN
  • NPI 1750686093
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Meadow Lakes

  • Skilled Nursing Facility
  • Mooresville, IN
  • NPI 1760426886
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Eskenazi Health Pharmacy West 38th Street

  • Clinic Pharmacy
  • Indianapolis, IN
  • NPI 1790111680
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Washington Healthcare Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1790926764
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Glenbrook Rehabilitation and Skilled Nursing Center

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1801032016
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Eskenazi Health

  • Psychiatric Hospital Unit
  • Indianapolis, IN
  • NPI 1811059595
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Rosewalk at Lutherwoods

  • Assisted Living Facility
  • Indianapolis, IN
  • NPI 1811062334
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Cardinal Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1841287232
  NPD tax ID
• The Health and Hospital Corporation of Marion County

  dba Eskenazi Health

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1841855897
  NPD tax ID

Member of 1

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

• Trinity Continuing Care Services

  dba Fraser Villa

  • Skilled Nursing Facility
  • Fraser, MI
  • NPI 1467546655

  Member Of

  NPD member

All disclosed owners & managing parties 16

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 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Virginia A Caine, M.D.

  • Infectious Disease Physician
  • Indianapolis, IN
  • NPI 1699720847

  Corporate Officer

  CMS ownership
• Lisa E Harris, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1285692301

  Corporate Officer

  CMS ownership
• Geeta Karnik Mantravadi, M.D., M.S.

  • Infectious Disease Physician
  • Indianapolis, IN
  • NPI 1538328992

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 73

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

Facilities with the same owner 96

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

• Anew Home Health, LLC

  dba Anew Home Health

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1003342882

  American Senior Communities LLC

  CMS ownership
• Anew Hospice Ft Wayne LLC

  dba Anew Hospice FT. Wayne

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
  • NPI 1902593882

  American Senior Communities LLC

  CMS ownership
• Anew Hospice LLC

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1538540638

  American Senior Communities LLC

  CMS ownership
• Hendricks County Hospital

  dba Hickory Creek at Sunset

  • Skilled Nursing Facility
  • Greencastle, IN
  • NPI 1659300440

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Connersville

  • Skilled Nursing Facility
  • Connersville, IN
  • NPI 1013946979

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Scottsburg

  • Skilled Nursing Facility
  • Scottsburg, IN
  • NPI 1033148820

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Franklin

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053340919

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Madison

  • Skilled Nursing Facility
  • Madison, IN
  • NPI 1104855980

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Peru

  • Skilled Nursing Facility
  • Peru, IN
  • NPI 1164451944

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba Markle Health & Rehabilitation

  • Skilled Nursing Facility
  • Markle, IN
  • NPI 1508866013

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba Hickory Creek at Huntington

  • Skilled Nursing Facility
  • Huntington, IN
  • NPI 1528097391

  American Senior Communities LLC

  CMS ownership
• Henry County Memorial Hospital

  dba Betz Nursing Home

  • Skilled Nursing Facility
  • Auburn, IN
  • NPI 1538141379

  American Senior Communities LLC, The Health and Hospital Corporation of Marion County

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• David U Ilo, MD

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1104094689

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1871674556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W WASHINGTON ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192320",
            "telephone_number": "574-282-1294",
            "fax_number": "574-251-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W WASHINGTON ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46619",
            "telephone_number": "574-282-1294",
            "fax_number": "574-251-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "VAN CAMP",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO OF ASC",
        "authorized_official_telephone_number": "317-788-2500",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-000246-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bend Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Bend Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Hendricks, D.D.S.
• Angela Marie Hendrickson, P.T.A.
• Victorianne Hendrickson
• Toni E Henke-Wheeler, LCSW
• Julenne Henriquez-Gil
• Angela Marie Henry, BA, MSW, LCSW
• Jacqueline Lee Henry, APRN-NP
• Kody Carson-Michell Henry, RBT
• Tekona Henry, MSW
• Courtney Hensel, RN

• Skilled Nursing Facility in South Bend, IN
• Providers in South Bend, 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 Jun 25, 2026; 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.