Active NPI
Hendricks County Hospital
Doing business as Life Care Center of Michigan City
- Skilled Nursing Facility
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 050002361
- Legal business name
- HENDRICKS COUNTY HOSPITAL
- Doing business as
- Life Care Center of Michigan City
- Practice address
- 802 E US Highway 20
Michigan City, IN 46360-7424 - Phone
- (219) 872-7251
- Fax
- (219) 873-0387
- NPI assigned
- May 27, 2006
- Last updated
- Sep 30, 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
- Kevin P. Speer
- Title
- President and Ceo
- Phone
- (317) 745-4451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 050002361 | IN | Primary |
Addresses
Primary practice location
802 E US Highway 20
Michigan City, IN 46360-7424
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100287700 | Medicaid | IN |
Other names 1
- Life Care Center of Michigan City
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181030002042 | IN | Part A Provider - Skilled Nursing Facility | 4880505528 | Practice locations: Michigan City, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982651782. Details of each certification follow.
Skilled nursing facility certification: CCN 155344
- Legal name
- HENDRICKS COUNTY HOSPITAL
- Doing business as
- LIFE CARE CENTER OF MICHIGAN CITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 18, 1989
- Last certification
- Jun 14, 2024
- Beds
- 120
- Ownership / control type
- Individual
- Multi-facility organization
- Life Care Centers of America
- Organization structure
- Other
- Enrollment address
- 802 E US Highway 20
Michigan City, IN 46360-7424 - Nursing home name
- LIFE CARE CENTER OF MICHIGAN CITY
- Affiliated entity
- LIFE CARE CENTERS OF AMERICA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Life Care Center of Michigan City
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Nov 18, 1989
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Life Care Centers of America
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 |
|---|---|---|---|
| 15D0647311 | Life Care Center of Michigan City | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Hendricks County Hospital
Organizations with this tax ID in the same state 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Avon Community Schools Wellness Clinic
- Corporate Health Clinic/Center
- Avon, IN
- NPI 1871825216
-
dba Avon Wellness Center
- Corporate Health Clinic/Center
- Avon, IN
- NPI 1952679680
-
dba Hendricks Regional Health Danville Internal Medicine
- Internal Medicine Physician
- Danville, IN
- NPI 1871065144
-
dba Hendricks Regional Diabetes Health
- Pediatric Endocrinology Physician
- Danville, IN
- NPI 1891896247
-
dba Brickyard Healthcare - Merrillville Care Center
- Skilled Nursing Facility
- Merrillville, IN
- NPI 1891965620
-
dba Hendricks Pulmonary and Critical Care Medicine
- Pulmonary Disease Physician
- Danville, IN
- NPI 1902176100
-
dba Westside Physicians for Women
- Obstetrics & Gynecology Physician
- Avon, IN
- NPI 1912008343
-
dba Hammond-Whiting Care Center
- Skilled Nursing Facility
- Whiting, IN
- NPI 1942256128
-
dba Brownsburg North Family Medicine
- Family Medicine Physician
- Brownsburg, IN
- NPI 1982143269
Ownership & related parties
All disclosed owners & managing parties 21
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 |
|---|---|---|---|
| Forrest L Preston | Operational/Managerial Control | Oct 1, 2018 | |
| Adp of the SNF | Oct 1, 2018 | ||
| Terry Henry | Operational/Managerial Control | Oct 1, 2018 | |
| Bikash Agarwal | Operational/Managerial Control | Oct 1, 2019 | |
| Adp of the SNF | Oct 1, 2019 | ||
| Adp of the SNF | Oct 1, 2018 | ||
| Todd Fletcher | Operational/Managerial Control | Oct 1, 2018 | |
| Timothy a Whicker | Managing Control - Governing Body | Jan 12, 2022 | |
| Trustee of the SNF | Jan 12, 2022 | ||
| Deanna M Fenoughty | Corporate Officer | Jul 10, 2023 | |
| Operational/Managerial Control | Jul 10, 2023 | ||
| Aubrey Preston | Operational/Managerial Control | Oct 1, 2018 | |
| Erin M Engels | Managing Control - Governing Body | Oct 1, 2018 | |
| Trustee of the SNF | Oct 1, 2018 | ||
| John Waite | Managing Control - Governing Body | Aug 1, 2020 | |
| Trustee of the SNF | Aug 1, 2020 | ||
| Michigan City Medical Investors Limited Partnership | Operational/Managerial Control | Oct 1, 2018 | 100% |
| Adp of the SNF | Oct 1, 2018 | ||
| Joan E Thurmond | Operational/Managerial Control | Oct 1, 2018 | |
| Hendricks County Hospital | 5% Or Greater Direct Ownership Interest | Oct 1, 2018 | 100% |
| Adp of the SNF | Feb 25, 2025 | ||
| Richard Swanker | Operational/Managerial Control | Oct 1, 2018 | |
| Mark Edward Gentry | Managing Control - Governing Body | Jan 12, 2022 | |
| Trustee of the SNF | Jan 12, 2022 | ||
| Life Care Centers of America, Inc. | Operational/Managerial Control | Oct 1, 2018 | |
| Adp of the SNF | Mar 12, 2025 | ||
| Tyler Starkey | Managing Control - Governing Body | Aug 1, 2020 | |
| Trustee of the SNF | Aug 1, 2020 | ||
| Lisa M Lay | Operational/Managerial Control | Oct 1, 2018 | |
| James Ziegler | Operational/Managerial Control | Oct 1, 2018 | |
| Terri Phillips | Operational/Managerial Control | Oct 1, 2018 | |
| Adp of the SNF | Oct 1, 2018 | ||
| Adp of the SNF | Oct 1, 2018 |
Owners & managing parties with NPI records 28
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Michigan City, IN
- NPI 1093700825
Adp of the SNF, Operational/Managerial Control
-
- Obstetrics & Gynecology Physician
- Avon, IN
- NPI 1245218908
Corporate Officer, Operational/Managerial Control
-
- Obstetrics & Gynecology Physician
- Danville, IN
- NPI 1144260191
Managing Control - Governing Body, Trustee of the SNF
-
dba Evergreen House Health Center
- Skilled Nursing Facility
- East Providence, RI
- NPI 1316907843
Adp of the SNF, Operational/Managerial Control
-
dba Life Care Center of Cleveland
- Skilled Nursing Facility
- Cleveland, TN
- NPI 1083656615
Adp of the SNF, Operational/Managerial Control
-
dba Ridgeview Terrace of Life Care
- Skilled Nursing Facility
- Rutledge, TN
- NPI 1093749939
Adp of the SNF, Operational/Managerial Control
-
dba Life Care Center of Orlando
- Skilled Nursing Facility
- Orlando, FL
- NPI 1124044912
Adp of the SNF, Operational/Managerial Control
-
dba Life Care Center of Yuma
- Skilled Nursing Facility
- Yuma, AZ
- NPI 1144271818
Adp of the SNF, Operational/Managerial Control
-
dba Life Care Center of Winter Haven
- Skilled Nursing Facility
- Winter Haven, FL
- NPI 1164440103
Adp of the SNF, Operational/Managerial Control
-
dba Life Care Center at Wells Crossing
- Skilled Nursing Facility
- Orange Park, FL
- NPI 1235155680
Adp of the SNF, Operational/Managerial Control
-
dba Cherry Hill Manor Nursing Home
- Skilled Nursing Facility
- Johnston, RI
- NPI 1275596108
Adp of the SNF, Operational/Managerial Control
-
dba Life Care Center of Gwinnett
- Skilled Nursing Facility
- Lawrenceville, GA
- NPI 1295768950
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 46
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hendricks Regional Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Laporte Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Churchman Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Bloomington Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brookview Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Sycamore Village Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Valparaiso Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Twelfth Street Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Merrillville Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Woodbridge Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Portage Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Lincoln Hills Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Golden Rule Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Elkhart Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brandywine Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brentwood Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Terrace Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Knox Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Woodlands Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Hamilton Trace of Fishers | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2013 |
| Brickyard Healthcare - Fountainview Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Muncie Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brownsburg Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2013 |
| Castleton Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2013 |
| Brickyard Healthcare - Petersburg Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2014 |
| Brickyard Healthcare - Richmond Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2014 |
| Brickyard Healthcare - Willow Springs Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 10, 2015 |
| The Waters of Lebanon | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 15, 2017 |
| Westside Retirement Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2018 Feb 24, 2025 |
| Mitchell Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2018 Feb 25, 2025 |
| Life Care Center of Ft Wayne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2018 Feb 26, 2025 |
| Heritage Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Sep 1, 2018 Feb 26, 2025 |
| Life Care Center of the Willows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 24, 2025 |
| Hammond-Whiting Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 27, 2025 |
| Parkview Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 24, 2025 |
| Life Care Center of Lagrange | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 27, 2025 |
| The Lane House | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Sep 1, 2012 Feb 20, 2025 |
| The Woodlands | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 26, 2025 |
| Life Care Center of Valparaiso | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 21, 2025 |
| Green Valley Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 28, 2025 |
| Life Care Center of Rochester | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 27, 2025 |
| Rensselaer Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2018 Feb 27, 2025 |
| Byron Health Center | Skilled nursing facility | Direct Ownership Interest (100%) | Aug 1, 2020 |
| Hickory Creek at Sunset | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2022 May 7, 2025 |
| Suburban Home Health, LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (12.82%) | Sep 3, 2024 |
| Suburban Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (12.82%) | Nov 1, 2024 |
Facilities with the same owner 224
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Westside Retirement Village
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1033166871
Hendricks County Hospital, Life Care Centers of America, Inc.
-
dba Hamilton Trace of Fishers
- Skilled Nursing Facility
- Fishers, IN
- NPI 1033416243
Hendricks County Hospital
-
dba Brickyard Healthcare - Valparaiso Care Center
- Skilled Nursing Facility
- Valparaiso, IN
- NPI 1053599688
Hendricks County Hospital
-
dba Castleton Health Care Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1063409498
Hendricks County Hospital
-
dba 'Brickyard Healthcare - Brandywine Care Center '
- Skilled Nursing Facility
- Greenfield, IN
- NPI 1063468676
Hendricks County Hospital
-
dba Green Valley Care Center
- Skilled Nursing Facility
- New Albany, IN
- NPI 1063469930
Hendricks County Hospital, Life Care Centers of America, Inc.
-
dba Brickyard Healthcare - Muncie Care Center
- Skilled Nursing Facility
- Muncie, IN
- NPI 1063682896
Hendricks County Hospital
-
dba Parkview Care Center
- Skilled Nursing Facility
- Evansville, IN
- NPI 1093762155
Hendricks County Hospital, Life Care Centers of America, Inc.
-
dba Brickyard Healthcare - LaPorte Care Center
- Skilled Nursing Facility
- La Porte, IN
- NPI 1093985814
Hendricks County Hospital
-
dba Brickyard Healthcare - Golden Rule Care Center
- Skilled Nursing Facility
- Richmond, IN
- NPI 1124070339
Hendricks County Hospital
-
dba Brickyard Healthcare - Woodbridge Care Center
- Skilled Nursing Facility
- Evansville, IN
- NPI 1124070347
Hendricks County Hospital
-
dba Life Care Center of Willows
- Skilled Nursing Facility
- Valparaiso, IN
- NPI 1194772087
Hendricks County Hospital, Life Care Centers of America, Inc.
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1982651782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123713",
"telephone_number": "423-473-5751",
"fax_number": "423-339-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E US HIGHWAY 20",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607424",
"telephone_number": "219-872-7251",
"fax_number": "219-873-0387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICKS COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "SPEER",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "317-745-4451"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "050002361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100287700",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "284 Merchant St",
"city": "Sainte Genevieve",
"state": "MO",
"country_code": "US",
"postal_code": "636701610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Life Care Center of Michigan City",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Life Care Center of Michigan City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.