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Johnson Memorial Hospital

Organization Active NPI Skilled Nursing Facility · Tipton, IN

NPI 1902829344 · NPPES record last updated Jan 30, 2023

Key facts

NPI
1902829344
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
06-000505-1 (IN)
Legal business name
JOHNSON MEMORIAL HOSPITAL
Practice address
300 Fairgrounds Rd
Tipton, IN 46072-8458
Phone
(765) 675-8791
Fax
(765) 675-2640
NPI assigned
Jul 26, 2006
Organization subpart
No

Authorized official

Name
David Dunkle, MD
Title
President/Ceo
Phone
(317) 736-3396

Owners & managing parties with NPI records 1

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

  • David H Dunkle, MD Family Medicine Physician · Franklin, IN · NPI 1053468041
    CMS ownership CORPORATE DIRECTOR · CORPORATE OFFICER · OPERATIONAL/MANAGERIAL CONTROL

Corporate family (same tax ID) 36

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

View all 36

Facilities with the same owner 34

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

View all 34

Affiliated clinicians 2

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

Medicare Care Compare: Nursing home

Listed as
Waters of Tipton Skilled Nursing Facility, the CCN 155556
Overall star rating
★☆☆☆☆ 1 of 5
Health inspections
★☆☆☆☆ 1 of 5
Staffing
★★☆☆☆ 2 of 5
Quality measures
★★★☆☆ 3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Apr 1, 1995
Medicare certification status
Active (Provider of Services file)
Certified beds
150 · 92.9 residents per day on average
Chain
Infinity Healthcare Consulting (69 facilities)
Special focus status
SFF Candidate
Penalties (3 years)
3 · fines totaling $20,494

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Skilled nursing facility certification: CCN 155556

Legal name
JOHNSON MEMORIAL HOSPITAL
Doing business as
THE WATERS OF TIPTON SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 1, 1995
Last certification
Mar 18, 2025
Beds
150
Ownership / control type
Individual
Multi-facility organization
Infinity Healthcare Consulting
Organization structure
Government · Non-profit
Enrollment address
300 Fairgrounds Rd
Tipton, IN 46072-8458
Nursing home name
WATERS OF TIPTON SKILLED NURSING FACILITY, THE
Affiliated entity
INFINITY HEALTHCARE CONSULTING

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David H Dunkle
Individual 		Corporate Officer Mar 1, 2019
Corporate Director Mar 1, 2019
Operational/Managerial Control
Ceo/President, MD		 Mar 1, 2019
The Waters of Tipton Skilled Nursing Facility LLC
Organization · Tipton, IN
LLC, Management services company 		Operational/Managerial Control Nov 1, 2022 100%
Miller'S Health Systems Inc
Organization · Warsaw, IN
Corporation 		Operational/Managerial Control Mar 1, 2013
Steven Berkhouse
Individual 		Corporate Officer
Cfo		 Oct 18, 2021
Corporate Director
Cfo		 Oct 18, 2021
Paula Juday
Individual 		Contracted Managing Employee
Administrator		 Jun 1, 2015
Johnson Memorial Hospital
Organization · Franklin, IN
Medical provider/supplier, Non-profit 		5% Or Greater Direct Ownership Interest Mar 1, 2013 100%
Robert J Decola
Individual 		W-2 Managing Employee
Coo		 Feb 16, 2019
Patrick H Boyle
Individual 		Other May 30, 2017

All facility ownership & control disclosures 34

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

FacilityTypeRoleSince
Millers Merry Manor
Indianapolis, IN · CCN 155557		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2012
Jun 1, 2013
Jun 1, 2013
Millers Merry Manor
Logansport, IN · CCN 155235		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Millers Merry Manor
Plymouth, IN · CCN 155102		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
The Waters of Lagrange Skilled Nursing Facility
Lagrange, IN · CCN 155118		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Dunkirk Skilled Nursing Facilty
Dunkirk, IN · CCN 155571		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Sullivan Nursing Facility
Sullivan, IN · CCN 155262		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Rushville Skilled Nursing Facility
Rushville, IN · CCN 155053		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Syracuse Skilled Nursing Facility
Syracuse, IN · CCN 155581		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Peru Skilled Nursing Facility
Peru, IN · CCN 155039		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Rockport Skilled Nursing Facility
Rockport, IN · CCN 155274		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Chesterfield Skilled Nursing Facility
Chesterfield, IN · CCN 155617		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Fort Wayne Skilled Nursing Facility
Fort Wayne, IN · CCN 155321		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Wakarusa Skilled Nursing Facility
Wakarusa, IN · CCN 155582		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Hartford City Skilled Nursing Facility
Hartford City, IN · CCN 155576		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Columbia City Skilled Nursing Facility
Columbia City, IN · CCN 155150		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Castleton Skilled Nursing Facility
Indianapolis, IN · CCN 155271		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Middletown Skilled Nursing Facility
Middletown, IN · CCN 155573		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Huntington Skilled Nursing Facility
Huntington, IN · CCN 155059		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Hobart Skilled Nursing Facility
Hobart, IN · CCN 155251		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Miller'S Merry Manor
Walkerton, IN · CCN 155574		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Miller'S Merry Manor
New Carlisle, IN · CCN 155578		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry Manor
Portage, IN · CCN 155299		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Millers Merry Manor
Culver, IN · CCN 155589		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2023
Miller'S Merry Manor
Warsaw, IN · CCN 155049		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry Manor
Garrett, IN · CCN 155583		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller'S Merry Manor
Hope, IN · CCN 155579		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Millers at Oak Pointe
Columbia City, IN · CCN 155128		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
The Waters of Wabash Skilled Nursing Facility East
Wabash, IN · CCN 155006		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
The Waters of Wabash Skilled Nursing Facility West
Wabash, IN · CCN 155627		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Millers Merry Manor
Marion, IN · CCN 155173		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Oct 1, 2015
Jun 1, 2013
Jun 1, 2013
Millers Merry Manor
Mooresville, IN · CCN 155564		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Greenwood Village South
Greenwood, IN · CCN 155026		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 1, 2016
Nov 1, 2016
Jul 9, 2025
Miller'S Health & Rehab by Miller'S Merry Manor
La Porte, IN · CCN 155297		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013
Jun 1, 2013
Compass Park
Franklin, IN · CCN 155593		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Jan 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130426000319 IN Part a Provider - Skilled Nursing Facility 8527972595 Practice locations: Tipton, IN

National Provider Directory

Tax ID family
Emergency Medical Group (37 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06-000505-1 IN Yes
Nursing Facility Supplies (DME) 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X IN

Addresses

Primary practice location

300 Fairgrounds Rd
Tipton, IN 46072-8458

Mailing address

1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-7549

Other identifiers

IdentifierTypeStateIssuer
100266350AMedicaidIN

Other names

  • The Waters of Tipton Skilled Nursing Facility Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2023.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1902829344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312140",
            "telephone_number": "317-736-7549",
            "fax_number": "317-736-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FAIRGROUNDS RD",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460728458",
            "telephone_number": "765-675-8791",
            "fax_number": "765-675-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "DUNKLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "317-736-3396",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "06-000505-1",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266350A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waters of Tipton Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tipton, IN

All providers in Tipton, IN · Skilled Nursing Facility in Indiana

Sources for this page

Verify at the official NPI Registry.