Johnson Memorial Hospital
Skilled Nursing Facility in Greenwood, IN. Organization (NPI-2).
NPI number1790776128
StatusActive
Last updated in NPPESJan 27, 2022
Details
- NPI
- 1790776128
- Entity type
- Organization (NPI-2)
- Legal business name
- Johnson Memorial Hospital
- Organization subpart
- No
- Enumeration date
- Nov 3, 2005
- Certification date
- Jan 27, 2022
- Last updated
- Jan 27, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 16-000010-1 | IN | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 04-000010-1 | IN |
Other names
- Greenwood Village South (Doing Business As)
Practice location
295 Village LnGreenwood, IN 46143-2440
Phone 317-865-4654 · Fax 317-859-4436
Mailing address
295 Village LnGreenwood, IN 46143-2440
Phone 317-865-4654 · Fax 317-859-4436
Authorized official
Steven J Berkhouse
Cfo
3173467939
Is something wrong?
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All 5 Skilled Nursing Facility providers in Greenwood · All 3,035 providers in Greenwood
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