Hickory Creek At Kendallville

LBN: Henry County Memorial Hospital
Hickory Creek At Kendallville is an health care organization with primary practice located at 1433 S Main St , Kendallville IN 46755-2104. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Henry County Memorial Hospital can be contacted via phone (260) 347-3612, or through Ring, Brian via phone (765) 521-1515.

Contact Information

Primary practice address
1433 S Main St Kendallville IN 46755-2104
Phone: (260) 347-3612
Fax: (260) 349-0336
Website:
Map and Directions
Authorized official contact:
Name: Ring, Brian
Phone: (765) 521-1515

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 05-000402-2 Indiana

Profile Details

NPI number 1871522649
LBN Legal business name Henry County Memorial Hospital
DBA Doing business as Hickory Creek At Kendallville
Authorized official Ring, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 17th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871522649 NPPES
Indiana MEDICAID 100288120

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