Pulaski Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05-000522-1 Issued in IN

Legal business name

PULASKI MEMORIAL HOSPITAL

Doing business as

Kingston Care Center of Fort Wayne
Kingston Health Center of Fort Wayne

Practice address

1010 W Washington Center Rd.
Fort Wayne, IN 46825

Phone

(260) 489-2552

Fax

(419) 247-2872

NPI assigned

Oct 3, 2005

Last updated

Apr 15, 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

Mr. Gregg A Malott

Title

Chief Financial Officer

Phone

(574) 946-2103

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Kingston Care Center of Fort Wayne Doing business as
• Kingston Health Center of Fort Wayne 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 1932196177. Details of each certification follow.

• CCN 155479 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155479

Legal name

PULASKI MEMORIAL HOSPITAL

Doing business as

KINGSTON HEALTH CENTER OF FORT WAYNE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 1, 1993

Last certification

Aug 26, 2024

Beds

137

Ownership / control type

Corporation

Multi-facility organization

Pulaski Memorial Hospital

Organization structure

OtherNon-profit

Enrollment address

1010 W Washington Center Rd
Fort Wayne, IN 46825-4155

Nursing home name

KINGSTON HEALTH CENTER OF FORT WAYNE

Affiliated entity

KINGSTON HEALTHCARE

Listed as

Kingston Health Center of Fort WayneCCN 155479 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

137102.2 residents per day on average

Chain

Kingston Healthcare3 facilities in the chain

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

Michael D Ramone DO43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

• Pulaski Memorial Hospital

  dba Saint Anthony

  • Skilled Nursing Facility
  • Crown Point, IN
  • NPI 1023013455
  NPD tax ID
• Pulaski Memorial Hospital

  dba Loogootee Nursing Center

  • Skilled Nursing Facility
  • Loogootee, IN
  • NPI 1023152857
  NPD tax ID
• Pulaski Memorial Hospital

  dba Majestic Care of Connersville

  • Skilled Nursing Facility
  • Connersville, IN
  • NPI 1053358960
  NPD tax ID
• Pulaski Memorial Hospital

  dba Asbury Towers Health Care Center

  • Skilled Nursing Facility
  • Greencastle, IN
  • NPI 1093736076
  NPD tax ID
• Pulaski Memorial Hospital

  dba Healthwin Health & Rehabilitation

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1093750119
  NPD tax ID
• Pulaski Memorial Hospital

  dba Gentle Care Strategies

  • Skilled Nursing Facility
  • Vincennes, IN
  • NPI 1093796179
  NPD tax ID
• Pulaski Memorial Hospital

  dba The Milton Home

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1194167650
  NPD tax ID
• Pulaski Memorial Hospital

  dba Majestic Care of Fort Wayne

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1235177981
  NPD tax ID
• Pulaski Memorial Hospital

  dba Pulaski Memorial Hospital Francesville Family Medicine

  • Rural Health Clinic/Center
  • Francesville, IN
  • NPI 1245710086
  NPD tax ID
• Pulaski Memorial Hospital

  dba Pulaski Memorial Hospital Community Pharmacy-Francesville

  • Community/Retail Pharmacy
  • Francesville, IN
  • NPI 1245952480
  NPD tax ID
• Pulaski Memorial Hospital

  dba Northern Lakes Nursing & Rehab Center

  • Skilled Nursing Facility
  • Angola, IN
  • NPI 1306837869
  NPD tax ID
• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  NPD tax ID

Locations

All disclosed owners & managing parties 29

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 4

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

• Charles Randall Hutton, D.D.S.

  • General Practice Dentistry
  • Winamac, IN
  • NPI 1265545461

  Trustee of the SNF

  CMS ownership
• Clinton L. Kauffman, MD

  • Family Medicine Physician
  • Winamac, IN
  • NPI 1013062686

  Trustee of the SNF

  CMS ownership
• Andrew Joseph Offerle, M.D.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1598785149

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Paragon Outpatient Rehabilitation Services, LLC

  dba Synchrony Rehabilitation

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 27

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

Facilities with the same owner 29

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

• Pulaski Memorial Hospital

  dba Saint Anthony

  • Skilled Nursing Facility
  • Crown Point, IN
  • NPI 1023013455

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Loogootee Nursing Center

  • Skilled Nursing Facility
  • Loogootee, IN
  • NPI 1023152857

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Asbury Towers Health Care Center

  • Skilled Nursing Facility
  • Greencastle, IN
  • NPI 1093736076

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Gentle Care Strategies

  • Skilled Nursing Facility
  • Vincennes, IN
  • NPI 1093796179

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba The Milton Home

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1194167650

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Pulaski Memorial Hospital Francesville Family Medicine

  • Rural Health Clinic/Center
  • Francesville, IN
  • NPI 1245710086

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Northern Lakes Nursing & Rehab Center

  • Skilled Nursing Facility
  • Angola, IN
  • NPI 1306837869

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Majestic Care of Avon

  • Skilled Nursing Facility
  • Avon, IN
  • NPI 1326082009

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Majestic Care of West Allen

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

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Simmons Loving Care Health Facility

  • Nursing Facility/Intermediate Care Facility
  • Gary, IN
  • NPI 1346263217

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba South Shore Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Gary, IN
  • NPI 1346292737

  Pulaski Memorial Hospital

  CMS ownership
• Pulaski Memorial Hospital

  dba Briarcliff Health & Rehabilitation Center

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1487044822

  Pulaski Memorial Hospital

  CMS ownership

Affiliated clinicians 2

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

• Reena Thapa

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1568695054

  Nursing home

  Care Compare affiliation
• Robert Ervin Wilkins, MD

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1992749485

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1932196177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W WASHINGTON CENTER RD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-489-2552",
            "fax_number": "419-247-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W WASHINGTON CENTER RD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-489-2552",
            "fax_number": "419-247-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "MALOTT",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "574-946-2103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05-000522-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000204329",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267040",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267040A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingston Care Center of Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingston Health Center of Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue A Puff, MSW, LCSW
• Gisella P Puga, CRNA
• Pulaski Memorial Hospital (Majestic Care of Fort Wayne)
• Pulaski Memorial Hospital (Majestic Care of West Allen)
• Pulaski Memorial Hospital (Majestic Care of Jefferson Pointe)
• Bradley Jon Pulfer, D.D.S.
• Sheryleen Derede Pulfer, D.D.S
• Jyostna Deepika Pulla, MD
• Niyota Pulliam
• Pulmonary Asthma & Allergy Consults

• Skilled Nursing Facility in Fort Wayne, IN
• Providers in Fort Wayne, 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 Apr 15, 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.