Pulaski Memorial Hospital

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009450 Issued in IN

Legal business name

PULASKI MEMORIAL HOSPITAL

Doing business as

Pulaski Memorial Home Health Care and Hospice

Practice address

616 E. 13TH Street
Winamac, IN 46996-1117

Phone

(574) 946-2140

Fax

(574) 946-2128

NPI assigned

Jul 7, 2005

Last updated

Sep 7, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PULASKI MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mrs. Vicki A White, RN

Title

Director

Phone

(574) 946-2146

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pulaski Memorial Home Health Care and Hospice Doing business as

Part of

Michael D Ramone DO

Member of 1

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

• Pulaski Memorial Hospital

  dba Majestic Care of West Allen

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1336548353

  Member Of

  NPD member

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1891793576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E. 13TH STREET",
            "address_2": "PO BOX 279",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961117",
            "telephone_number": "574-946-2140",
            "fax_number": "574-946-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E. 13TH STREET",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961117",
            "telephone_number": "574-946-2140",
            "fax_number": "574-946-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PULASKI MEMORIAL HOSPITAL",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "574-946-2146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "009450",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200141720A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "009450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulaski Memorial Home Health Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pulaski Memorial Home Health Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pulaski Memorial Hospital
• Pulaski Memorial Hospital (Pulaski Memorial Hospital First Steps)
• Pulaski Memorial Hospital (Pulaski Health Care Center)
• Pulaski Memorial Hospital (Hickory Creek at Winamac)
• Pulaski Memorial Hospital
• Pulaski Memorial Hospital Ambulance Service
• Safeguard Joy Home Health LLC
• Safeguard Joy LLC
• Mary Lynn Scheffer, PT
• Whitney Dawn Scheffer, NP

• Community Based Hospice Care Agency in Winamac, IN
• Providers in Winamac, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.