NPIMap

Organization Active NPI

Johnson Memorial Hospital

Doing business as The Waters of Huntington Skilled Nursing Facility

  • Skilled Nursing Facility
  • Huntington, IN
National Provider Identifier
1972524015
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06-000020-1 Issued in IN
Legal business name
JOHNSON MEMORIAL HOSPITAL
Doing business as
The Waters of Huntington Skilled Nursing Facility
Practice address
1500 Grant St
Huntington, IN 46750-3122
Phone
(260) 356-5713
Fax
(260) 356-8671
NPI assigned
Jul 22, 2006
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06-000020-1 IN Primary
Nursing Facility Supplies (DME) 332BN1400X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X IN

Addresses

Primary practice location

1500 Grant St
Huntington, IN 46750-3122

Mailing address

1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3396

Other identifiers 1

IdentifierTypeStateIssuer
100288690AMedicaidIN

Other names 1

  • The Waters of Huntington Skilled Nursing Facility Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130529000726 IN Part A Provider - Skilled Nursing Facility 8527972595 Practice locations: Huntington, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972524015. Details of each certification follow.

Skilled nursing facility certification: CCN 155059

Legal name
JOHNSON MEMORIAL HOSPITAL
Doing business as
THE WATERS OF HUNTINGTON SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 1, 1972
Last certification
Jun 7, 2024
Beds
85
Ownership / control type
Corporation
Organization structure
GovernmentNon-profit
Enrollment address
1500 Grant St
Huntington, IN 46750-3122
Nursing home name
WATERS OF HUNTINGTON SKILLED NURSING FACILITY, THE
Affiliated entity
INFINITY HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waters of Huntington Skilled Nursing Facility, theCCN 155059 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8562.2 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain
Penalties (3 years)
1Fines totaling $85,480

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Johnson Memorial Immedi37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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 OfficerCeo/President, MD Jun 1, 2019 100%
Corporate DirectorCeo/President, MD Jun 1, 2019 100%
Operational/Managerial ControlCeo/President, MD Jun 1, 2019
Miller's Health Systems Inc Organization, Warsaw, IN Corporation Operational/Managerial Control Mar 13, 2013
The Waters of Huntington Skilled Nursing Facility LLC Organization, Huntington, IN LLC, Management services company Operational/Managerial Control Nov 1, 2022 100%
Steven Berkhouse Individual Corporate OfficerCfo Oct 18, 2021 100%
Corporate DirectorCfo Oct 18, 2021 100%
Johnson Memorial Hospital Organization, Franklin, IN 5% Or Greater Direct Ownership Interest Mar 1, 2013 100%
Robert J Decola Individual W-2 Managing EmployeeCoo Feb 16, 2019

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

    Corporate Director, Corporate Officer, Operational/Managerial Control

    CMS ownership

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 ManorIndianapolis, 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 ManorLogansport, 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 ManorPlymouth, 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 FacilityLagrange, IN, CCN 155118 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Dunkirk Skilled Nursing FaciltyDunkirk, IN, CCN 155571 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Sullivan Nursing FacilitySullivan, IN, CCN 155262 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Rushville Skilled Nursing FacilityRushville, IN, CCN 155053 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Syracuse Skilled Nursing FacilitySyracuse, IN, CCN 155581 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Tipton Skilled Nursing FacilityTipton, IN, CCN 155556 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Peru Skilled Nursing FacilityPeru, IN, CCN 155039 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Rockport Skilled Nursing FacilityRockport, IN, CCN 155274 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Chesterfield Skilled Nursing FacilityChesterfield, IN, CCN 155617 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Fort Wayne Skilled Nursing FacilityFort Wayne, IN, CCN 155321 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Wakarusa Skilled Nursing FacilityWakarusa, IN, CCN 155582 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Hartford City Skilled Nursing FacilityHartford City, IN, CCN 155576 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Columbia City Skilled Nursing FacilityColumbia City, IN, CCN 155150 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Castleton Skilled Nursing FacilityIndianapolis, IN, CCN 155271 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Middletown Skilled Nursing FacilityMiddletown, IN, CCN 155573 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
The Waters of Hobart Skilled Nursing FacilityHobart, IN, CCN 155251 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
Miller's Merry ManorWalkerton, 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 ManorNew Carlisle, IN, CCN 155578 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller's Merry ManorPortage, 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 ManorCulver, 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 ManorWarsaw, IN, CCN 155049 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller's Merry ManorGarrett, IN, CCN 155583 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Miller's Merry ManorHope, IN, CCN 155579 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
Millers at Oak PointeColumbia City, IN, CCN 155128 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
The Waters of Wabash Skilled Nursing Facility EastWabash, IN, CCN 155006 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
The Waters of Wabash Skilled Nursing Facility WestWabash, IN, CCN 155627 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Millers Merry ManorMarion, 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 ManorMooresville, 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 SouthGreenwood, 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 ManorLa 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 ParkFranklin, 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

Facilities with the same owner 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1972524015",
    "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": "317-736-3396",
            "fax_number": "317-736-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRANT ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467503122",
            "telephone_number": "260-356-5713",
            "fax_number": "260-356-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "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": "06-000020-1",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "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": "100288690A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waters of Huntington Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, IN

Sources for this page

Verify at the official NPI Registry.