Active NPI
Pulaski Memorial Hospital
Doing business as Majestic Care of New Haven
- Skilled Nursing Facility
- New Haven, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 05-000114-1
- Legal business name
- PULASKI MEMORIAL HOSPITAL
- Doing business as
- Majestic Care of New Haven
- Practice address
- 1201 Daly Dr.
New Haven, IN 46774-1891 - Phone
- (260) 749-0413
- Fax
- (260) 749-2531
- NPI assigned
- Jul 9, 2006
- Last updated
- May 11, 2026
- 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
- Dane Wheeler, CPA
- Title
- Cfo
- Phone
- (260) 724-2145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 05-000114-1 | IN | Primary |
Addresses
Primary practice location
1201 Daly Dr.
New Haven, IN 46774-1891
Mailing address
1201 Daly Dr.
New Haven, IN 46774-1891
Phone (260) 749-0413
Other names 1
- Majestic Care of New Haven
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151110000134 | IN | Part A Provider - Skilled Nursing Facility | 0941198253 | Practice locations: New Haven, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912930223. Details of each certification follow.
Skilled nursing facility certification: CCN 155207
- Legal name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Doing business as
- MAJESTIC CARE OF NEW HAVEN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 27, 1982
- Last certification
- Jan 27, 2025
- Beds
- 109
- Ownership / control type
- Corporation
- Multi-facility organization
- Majestic
- Organization structure
- Government
- Enrollment address
- 1201 Daly Dr
New Haven, IN 46774-1891
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Majestic Care of New Haven
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 27, 1982
- Medicare certification status
- Active
- Certified beds
- 109
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 |
|---|---|---|---|
| 15D0667746 | Pulaski Memorial Hospital | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Cindy Parker MD
- Part of
- Adams County Mem Hospital
Other organizations with this tax ID 42
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Loogootee Nursing Center
- Skilled Nursing Facility
- Loogootee, IN
- NPI 1023152857
-
dba Majestic Care of Connersville
- Skilled Nursing Facility
- Connersville, IN
- NPI 1053358960
-
dba Asbury Towers Health Care Center
- Skilled Nursing Facility
- Greencastle, IN
- NPI 1093736076
-
dba Healthwin Health & Rehabilitation
- Skilled Nursing Facility
- South Bend, IN
- NPI 1093750119
-
dba Gentle Care Strategies
- Skilled Nursing Facility
- Vincennes, IN
- NPI 1093796179
-
dba The Milton Home
- Skilled Nursing Facility
- South Bend, IN
- NPI 1194167650
-
dba Majestic Care of Fort Wayne
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1235177981
-
dba Pulaski Memorial Hospital Francesville Family Medicine
- Rural Health Clinic/Center
- Francesville, IN
- NPI 1245710086
-
dba Pulaski Memorial Hospital Community Pharmacy-Francesville
- Community/Retail Pharmacy
- Francesville, IN
- NPI 1245952480
-
dba Northern Lakes Nursing & Rehab Center
- Skilled Nursing Facility
- Angola, IN
- NPI 1306837869
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
Ownership & related parties
All disclosed owners & managing parties 26
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 |
|---|---|---|---|
| David Alexander | Operational/Managerial Control | May 1, 2023 | |
| Adp of the SNF | May 1, 2023 | ||
| First Bank of Berne | Adp of the SNF | Jan 1, 2020 | |
| Adams County Memorial Hospital | 5% Or Greater Direct Ownership Interest | Nov 1, 2015 | 100% |
| Operational/Managerial Control | Nov 1, 2015 | ||
| Adp of the SNF | Aug 1, 2018 | ||
| Scott E Lehman | Operational/Managerial Control | Jul 14, 2020 | |
| Managing Control - Governing Body | Jul 14, 2020 | ||
| Majestic Management LLC | Operational/Managerial Control | Jan 1, 2018 | |
| Adp of the SNF | Aug 1, 2018 | ||
| Angela Rewa | Operational/Managerial Control | Oct 23, 2023 | |
| Adp of the SNF | Oct 23, 2023 | ||
| LTC Consulting Services LLC | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| MDG Majestic Property Holdings LLC | Adp of the SNF | Aug 1, 2018 | |
| Larry Macklin | Operational/Managerial Control | Nov 1, 2015 | |
| Managing Control - Governing Body | Nov 1, 2015 | ||
| Robert Laron Russell | Operational/Managerial Control | Apr 8, 2024 | |
| Adp of the SNF | Apr 8, 2024 | ||
| Dane Wheeler | Operational/Managerial Control | Nov 1, 2015 | |
| Russell W Flueckiger | Operational/Managerial Control | Nov 1, 2015 | |
| Managing Control - Governing Body | Nov 1, 2015 | ||
| David McIntire | Operational/Managerial Control | Jan 1, 2019 | |
| Managing Control - Governing Body | Jan 1, 2019 | ||
| Paul Pruitt | Operational/Managerial Control | May 1, 2023 | |
| Adp of the SNF | May 1, 2023 | ||
| MDG Real Estate Global Limited | Adp of the SNF | Aug 1, 2018 | |
| Candice Borne-Bauman | Operational/Managerial Control | Jan 1, 2019 | |
| Managing Control - Governing Body | Jan 1, 2019 | ||
| Blue Management Services LLC | Adp of the SNF | Jan 1, 2024 | |
| Kyle Sprunger | Operational/Managerial Control | Jan 1, 2018 | |
| Majestic Care of New Haven LLC | Operational/Managerial Control | Aug 1, 2018 | 100% |
| Margaret Chamberlain | Operational/Managerial Control | Sep 11, 2023 | |
| Adp of the SNF | Sep 11, 2023 | ||
| Deyanira Chen | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Anzhelika Shatrov | Operational/Managerial Control | Dec 2, 2024 | |
| Adp of the SNF | Dec 2, 2024 | ||
| Lorri L Maples | Operational/Managerial Control | Jun 3, 2024 | |
| Adp of the SNF | Jun 3, 2024 | ||
| Scott T Smith | Operational/Managerial Control | Jan 1, 2020 | |
| Eric Wolfe | Operational/Managerial Control | Sep 11, 2023 | |
| Adp of the SNF | Sep 11, 2023 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Decatur, IN
- NPI 1922494228
Adp of the SNF, Operational/Managerial Control
-
- Optometrist
- Berne, IN
- NPI 1619977113
Managing Control - Governing Body, Operational/Managerial Control
-
- Geriatric Medicine (Internal Medicine) Physician
- Carmel, IN
- NPI 1407052376
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 59
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Adams County Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams County Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams Woodcrest | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Nov 22, 2005 Nov 22, 2005 Nov 22, 2005 |
| Adams Heritage | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Apr 28, 2004 Apr 28, 2004 Apr 28, 2004 |
| Woodland Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2012 May 1, 2012 |
| Warsaw Meadows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Colonial Nursing Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2012 Jun 1, 2012 |
| Lutheran Life Villages | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Hawthorne Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Lutheran Life Villages | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Kendallville Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2012 Oct 1, 2012 |
| Northwest Manor Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Cloverleaf of Knightsville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2012 Jul 1, 2012 |
| Majestic Care of Goshen | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 19, 2013 Feb 19, 2013 |
| Caroleton Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2013 May 1, 2013 |
| Christian Care Retirement Community | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2013 Jan 1, 2025 |
| Cathedral Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2014 Nov 1, 2014 |
| River Terrance Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2014 |
| Lutheran Life Villages | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| The Cedars | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2015 Jun 1, 2015 |
| Chesterton Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Yorktown Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Sacred Heart Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2015 |
| Chalet Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2015 Jul 1, 2013 |
| Silver Memories Health Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 1, 2015 Oct 1, 2015 |
| Saint Anne Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2016 Sep 1, 2016 |
| Holy Cross Rehabilitation and Wellness | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2017 |
| Swiss Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2018 |
| Oak Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2017 Dec 1, 2017 |
| Shady Nook Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2020 Sep 1, 2020 |
| Envive of Lawrenceburg | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2021 Dec 1, 2021 |
| The Waters of Georgetown | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Envive of Berne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2021 Dec 1, 2021 |
| Envive of Huntington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Anderson | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Indianapolis | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Envive of Hartford City | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Envive of Sullivan | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Heritage Pointe of Huntington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Heritage Pointe of Warren | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Heritage Pointe of Fort Wayne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
| Envive of Beech Grove | Skilled nursing facility | Direct Ownership Interest (100%) | Oct 1, 2022 |
| River Bend Nursing and Rehbilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 1, 2022 Sep 1, 2022 |
| Manderley Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2022 Dec 1, 2022 |
| Envive of Evansville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2023 Jul 1, 2023 |
| Harrison Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Rolling Hills Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Sellersburg Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Wedgewood Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Dec 1, 2023 Dec 1, 2023 Dec 31, 2025 |
| Indian Creek Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2023 Dec 1, 2023 |
| Chase Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Pilgrim Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2024 Jan 1, 2025 |
| Envive of Muncie | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
| Envive of Liberty | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
| Monroe Family Medicine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Adams Statcare and Behavioral Health | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Decatur Family Medicine - Woodcrest Connection | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Adams Medical Group - High Street | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2019 |
| Adams Medical Group - Geneva | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2025 |
Facilities with the same owner 84
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Envive of Sullivan
- Skilled Nursing Facility
- Sullivan, IN
- NPI 1013193903
Adams County Memorial Hospital
-
dba The Cedars
- Skilled Nursing Facility
- Leo, IN
- NPI 1023003118
Adams County Memorial Hospital
-
dba Woodland Manor
- Skilled Nursing Facility
- Elkhart, IN
- NPI 1023096138
Adams County Memorial Hospital
-
dba Harrison Healthcare Center
- Skilled Nursing Facility
- Corydon, IN
- NPI 1033531462
Adams County Memorial Hospital
-
dba Fort Wayne Health Campus
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Adams County Memorial Hospital
-
dba Pilgrim Manor
- Skilled Nursing Facility
- Plymouth, IN
- NPI 1093715468
Adams County Memorial Hospital
-
dba Warsaw Meadows
- Skilled Nursing Facility
- Warsaw, IN
- NPI 1114125689
Adams County Memorial Hospital
-
dba Lutheran Life Villages
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Adams County Memorial Hospital
-
dba Chase Center
- Skilled Nursing Facility
- Logansport, IN
- NPI 1144220500
Adams County Memorial Hospital
-
dba Chalet Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Adams County Memorial Hospital
-
dba Lutheran Life Villages (Kendallville)
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Adams County Memorial Hospital
-
dba Cathedral Health Care Center
- Skilled Nursing Facility
- Jasper, IN
- NPI 1235205816
Adams County Memorial Hospital
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": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1912930223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 DALY DR.",
"city": "NEW HAVEN",
"state": "IN",
"postal_code": "467741891",
"telephone_number": "260-749-0413",
"fax_number": "260-749-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 DALY DR.",
"city": "NEW HAVEN",
"state": "IN",
"postal_code": "467741891",
"telephone_number": "260-749-0413",
"fax_number": "260-749-2531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULASKI MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "DANE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "260-724-2145",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "05-000114-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Majestic Care of New Haven",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Haven, IN
- Rachel Ottenweller
- Ourhealth Professional Physician Group, LLC (East Allen County Schools Wellness Center)
- Jeremy Oyer
- Andrea Panyard, PHARMD
- Mary Payne
- RCG Indiana, L.L.C. (Fresenius Medical Care Canal Dialysis)
- Richert Chiropractic Inc (Richert Chiropractic Clinic)
- Mark Richert, D.C.
- Deni Nicole Roller
- Barbara L Rondot, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.