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LTC Facility Directory for FORT WAYNE Created on: 07/30/2020 Posted to the Web on: 08/12/2020 HENRY COUNTY MEMORIAL HOSPITAL d/b/a APERION CARE FORT WAYNE 5700 WILKIE DR FORT WAYNE, IN 46804 Administrator: JEANNINE HIATT Tel: (260)432-7556 Fax: (260)436-0386 License Number : 19-000476-1 Lic Expire Date: 08/31/2020 Bed Capacity: 149 0 SNF, 0 NF, 149 SNF/NF, 0 NCC, 0 RES HENRY COUNTY MEMORIAL HOSPITAL d/b/a APERION CARE UNIVERSITY PARK 1400 MEDICAL PARK DR FORT WAYNE, IN 46825 Administrator: TAMMY HUNTER Tel: (260)484-1558 Fax: (260)484-1550 License Number : 19-000459-1 Lic Expire Date: 08/31/2020 Bed Capacity: 104 0 SNF, 0 NF, 104 SNF/NF, 0 NCC, 0 RES CSL FORT WAYNE LLC d/b/a APPLE RIDGE ASSISTED LIVING AND MEMORY CARE 3320 EAST STATE BOULEVARD FORT WAYNE, IN 46805 Administrator: CAROLE MAYMON Tel: (260)483-4343 Fax: (260)483-4455 License Number : 19-012107-1 Lic Expire Date: 11/30/2020 Bed Capacity: 153 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 153 RES RIVERVIEW HOSPITAL d/b/a ASHTON CREEK HEALTH AND REHABILITATION CENTER 4111 PARK PLACE DRIVE FORT WAYNE, IN 46845 Administrator: MOLLY LINDER Tel: (260)373-2111 Fax: ( ) - License Number : 20-012861-1 Lic Expire Date: 07/31/2021 Bed Capacity: 139 53 SNF, 0 NF, 86 SNF/NF, 0 NCC, 0 RES HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a BETHLEHEM WOODS NURSING AND REHABILITATION 4430 ELSDALE DR FORT WAYNE, IN 46835 Administrator: JOELYN MORRIS Tel: (260)485-8157 Fax: (260)486-9008 License Number : 19-000260-1 Lic Expire Date: 11/30/2020 Bed Capacity: 90 0 SNF, 0 NF, 90 SNF/NF, 0 NCC, 0 RES BRIGHTSTAR SENIOR LIVING OPERATIONS OF FORT WAYNE d/b/a BRIGHTSTAR SENIOR LIVING OF FORT WAYNE 11430 COLDWATER ROAD FORT WAYNE, IN 46845 Administrator: NATASHA NICOLE GRAVES Tel: (260)234-2929 Fax: (866)212-3015 License Number : 19-144190-2 Lic Expire Date: 09/30/2020 Bed Capacity: 41 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 41 RES EMERITUS PROPERTIES NGH, LLC d/b/a BROOKDALE FORT WAYNE 4730 E STATE BLVD FORT WAYNE, IN 46815 Tel: (260)484-0308 Fax: (260)471-6665 License Number : 20-003273-1 Lic Expire Date: 01/31/2021 Bed Capacity: 105 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 105 RES RECOVERY HEALTH SERVICES INC d/b/a BYRON HEALTH CENTER 1661 BEACON STREET FORT WAYNE, IN 46805 Administrator: SARAH STARCHER Tel: (260)637-3166 Fax: (260)637-6150 License Number : 20-000255-1 Lic Expire Date: 05/31/2021 Bed Capacity: 170 0 SNF, 0 NF, 120 SNF/NF, 0 NCC, 50 RES HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a CANTERBURY NURSING AND REHABILITATION CENTER 2827 NORTHGATE BLVD FORT WAYNE, IN 46835 Administrator: MEETA ANAND Tel: (260)492-1400 Fax: (260)492-1699 License Number : 20-000275-1 Lic Expire Date: 06/30/2021 Bed Capacity: 142 0 SNF, 0 NF, 142 SNF/NF, 0 NCC, 0 RES FORT WAYNE BG OPCO LLC d/b/a CHAPMAN PLACE 3110 E COLISEUM BLVD FORT WAYNE, IN 46805 Administrator: TIFFANY TRIBBLE Tel: (260)471-3110 Fax: (260)471-9822 License Number : 20-010235-1 Lic Expire Date: 06/30/2021 Bed Capacity: 86 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 86 RES HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a COVENTRY MEADOWS 7843 W JEFFERSON BLVD FORT WAYNE, IN 46804 Administrator: KELLY HARDY Tel: (260)432-4848 Fax: (260)432-2828 License Number : 20-004945-1 Lic Expire Date: 01/31/2021 Bed Capacity: 150 40 SNF, 0 NF, 110 SNF/NF, 0 NCC, 0 RES HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a COVENTRY MEADOWS ASSISTED LIVING 7833 W JEFFERSON BLVD FORT WAYNE, IN 46804 Administrator: LINDSEY BROYLES Tel: (260)432-4848 Fax: (260)435-2115 License Number : 20-005846-1 Lic Expire Date: 01/31/2021 Bed Capacity: 82 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 82 RES RIVERVIEW HOSPITAL d/b/a ENGLEWOOD HEALTH & REHABILITATION CENTER 2237 ENGLE RD FORT WAYNE, IN 46809 Administrator: CHRISTOPHER ADAMS Tel: (260)747-2353 Fax: (260)747-6368 License Number : 20-000498-1 Lic Expire Date: 05/31/2021 Bed Capacity: 67 0 SNF, 0 NF, 67 SNF/NF, 0 NCC, 0 RES EV FW LIMITED PARTNERSHIP d/b/a EVERGREEN VILLAGE AT FORT WAYNE 12523 AUBURN ROAD FORT WAYNE, IN 46845 Administrator: AMANDA M PALACE Tel: (603)427-8584 Fax: ( ) - License Number : 20-014512-1 Lic Expire Date: 10/31/2020 Bed Capacity: 206 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 206 RES FIVE STAR COVINGTON LLC d/b/a FIVE STAR RESIDENCES OF FORT WAYNE 2601 COVINGTON COMMONS DRIVE FORT WAYNE, IN 46804 Administrator: ROSINA THATCHER Tel: (260)432-1932 Fax: (260)432-7740 License Number : 20-014017-1 Lic Expire Date: 03/31/2021 Bed Capacity: 106 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 106 RES CSL GEORGETOWNE LLC d/b/a GEORGETOWN PLACE 1717 MAPLECREST ROAD FORT WAYNE, IN 46815 Administrator: KRISTINE ANN LUNDQUIST Tel: (260)493-6927 Fax: (972)770-5666 License Number : 19-013463-1 Lic Expire Date: 11/30/2020 Bed Capacity: 280 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 280 RES HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a GLENBROOK REHABILITATION & SKILLED NURSING CENTER 3811 PARNELL AVE FORT WAYNE, IN 46805 Administrator: RYAN LEWIS Tel: (260)482-4651 Fax: (260)483-9505 License Number : 20-000092-1 Lic Expire Date: 12/31/2020 Bed Capacity: 82 0 SNF, 0 NF, 82 SNF/NF, 0 NCC, 0 RES WOODLAWN HOSPITAL d/b/a GOLDEN YEARS HOMESTEAD 3136 GOEGLEIN RD FORT WAYNE, IN 46815 Administrator: STEVEN SCHAAF Tel: (260)749-9655 Fax: (260)749-9656 License Number : 20-000282-1 Lic Expire Date: 06/30/2021 Bed Capacity: 165 5 SNF, 0 NF, 106 SNF/NF, 0 NCC, 54 RES MAJOR HOSPITAL d/b/a GREY STONE HEALTH & REHABILITATION CENTER 10445 DUPONT OAKS BLVD FORT WAYNE, IN 46845 Administrator: ANTHONY HILL Tel: (260)471-4770 Fax: (260)471-4072 License Number : 20-012935-1 Lic Expire Date: 12/31/2020 Bed Capacity: 100 16 SNF, 0 NF, 84 SNF/NF, 0 NCC, 0 RES HAMILTON AID OPCO LLC d/b/a HAMILTON PLACE 2116 BUTLER RD FORT WAYNE, IN 46815 Administrator: PAUL OTT Tel: (260)471-0944 Fax: (260)482-7476 License Number : 20-004686-1 Lic Expire Date: 06/30/2021 Bed Capacity: 47 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 47 RES HEARTH AT SYCAMORE VILLAGE, LLC d/b/a HEARTH AT SYCAMORE VILLAGE LLC 611 W COUNTY LINE RD SOUTH FORT WAYNE, IN 46814 Administrator: JULES KROFT Tel: (260)625-4025 Fax: (260)625-3466 License Number : 20-011804-1 Lic Expire Date: 07/31/2021 Bed Capacity: 147 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 147 RES PULASKI MEMORIAL HOSPITAL d/b/a HERITAGE OF FORT WAYNE, THE 5250 HERITAGE PARKWAY FORT WAYNE, IN 46835 Administrator: LINDA SHUTTLEWORTH Tel: (260)209-6279 Fax: (260)206-6284 License Number : 20-012931-1 Lic Expire Date: 01/31/2021 Bed Capacity: 126 64 SNF, 0 NF, 20 SNF/NF, 0 NCC, 42 RES HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a HERITAGE PARK 2001 HOBSON RD FORT WAYNE, IN 46805 Administrator: KIMILY HUGHES Tel: (260)484-9557 Fax: (260)471-4495 License Number : 20-000038-1 Lic Expire Date: 12/31/2020 Bed Capacity: 180 29 SNF, 0 NF, 151 SNF/NF, 0 NCC, 0 RES HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a HERITAGE PARK COMMONS 2002 HERITAGE PARK DRIVE FORT WAYNE, IN 46805 Administrator: GREGORY HERVEL Tel: (260)484-9557 Fax: (260)484-5347 License Number : 20-014113-1 Lic Expire Date: 06/30/2021 Bed Capacity: 45 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 45 RES KINGSTON AT DUPONT d/b/a KINGSTON AT DUPONT 1716 E DUPONT RD FORT WAYNE, IN 46825 Administrator: CAROLYN DAVIDSON Tel: (260)490-5111 Fax: (260)490-5112 License Number : 19-003000-1 Lic Expire Date: 11/30/2020 Bed Capacity: 45 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 45 RES PULASKI MEMORIAL HOSPITAL d/b/a KINGSTON CARE CENTER OF FORT WAYNE 1010 W WASHINGTON CENTER RD FORT WAYNE, IN 46825 Administrator: CATHERINE PALACE Tel: (260)489-2552 Fax: (260)487-9912 License Number : 19-000522-1 Lic Expire Date: 09/30/2020 Bed Capacity: 137 54 SNF, 0 NF, 83 SNF/NF, 0 NCC, 0 RES KINGSTON RESIDENCE OF FORT WAYNE LLC d/b/a KINGSTON RESIDENCE OF FORT WAYNE 7515 WINCHESTER RD FORT WAYNE, IN 46819 Administrator: RENEE MARY KREIENBRINK Tel: (260)747-1523 Fax: (260)747-1525 License Number : 19-001135-1 Lic Expire Date: 11/30/2020 Bed Capacity: 72 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 72 RES LL FT WAYNE LLC d/b/a LAMPLIGHT INN OF FORT WAYNE 300 E WASHINGTON BLVD FORT WAYNE, IN 46802 Administrator: AMBER HARDY Tel: (260)422-5511 Fax: (260)422-3778 License Number : 19-012288-1 Lic Expire Date: 09/30/2020 Bed Capacity: 162 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 162 RES HENDRICKS COUNTY HOSPITAL d/b/a LIFE CARE CENTER OF FORT WAYNE 1649 SPY RUN AVENUE FORT WAYNE, IN 46805 Administrator: HOLLY GENTRY Tel: (260)422-8520 Fax: (260)422-9345 License Number : 20-000167-1 Lic Expire Date: 07/31/2021 Bed Capacity: 125 0 SNF, 0 NF, 125 SNF/NF, 0 NCC, 0 RES MCCI OF INDIANA, LLC d/b/a LINCOLNSHIRE PLACE - FORT WAYNE 11911 DIEBOLD ROAD FORT WAYNE, IN 46845 Administrator: TYLER WEILBAKER Tel: (847)777-6933 Fax: ( ) - License Number : 20-013687-1 Lic Expire Date: 02/28/2021 Bed Capacity: 50 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 50 RES ADAMS COUNTY MEMORIAL HOSPITAL d/b/a LUTHERAN LIFE VILLAGES 6701 S ANTHONY BLVD FORT WAYNE, IN 46816 Administrator: SHAUNA SHAFER Tel: (260)447-1591 Fax: (260)447-7369 License Number : 20-000283-1 Lic Expire Date: 06/30/2021 Bed Capacity: 296 11 SNF, 0 NF, 178 SNF/NF, 0 NCC, 107 RES ADAMS COUNTY MEMORIAL HOSPITAL d/b/a LUTHERAN LIFE VILLAGES 9802 COLDWATER ROAD FORT WAYNE, IN 46825 Administrator: ASHLEY DOUGLAS Tel: (260)469-0600 Fax: (260)918-7038 License Number : 20-012657-1 Lic Expire Date: 06/30/2021 Bed Capacity: 84 36 SNF, 0 NF, 48 SNF/NF, 0 NCC, 0 RES DAVIESS COUNTY HOSPITAL d/b/a MAJESTIC CARE OF FORT WAYNE 7519 WINCHESTER RD FORT WAYNE, IN 46819 Administrator: ALICE MARTIN Tel: (260)747-7435 Fax: (260)747-9282 License Number : 20-000250-1 Lic Expire Date: 07/31/2021 Bed Capacity: 66 0 SNF, 0 NF, 66 SNF/NF, 0 NCC, 0 RES PULASKI MEMORIAL HOSPITAL d/b/a MAJESTIC CARE OF WEST ALLEN 6050 S CR 800 E 92 FORT WAYNE, IN 46814 Administrator: KEITH MOSTROG Tel: (260)625-3545 Fax: (260)625-3328 License Number : 20-000215-1 Lic Expire Date: 05/31/2021 Bed Capacity: 96 0 SNF, 0 NF, 96 SNF/NF, 0 NCC, 0 RES JOHNSON MEMORIAL HOSPITAL d/b/a MILLER'S MERRY MANOR 5544 E STATE BLVD FORT WAYNE, IN 46815 Administrator: AMANDA HARRIS Tel: (260)749-9506 Fax: (260)493-1524 License Number : 20-000214-1 Lic Expire Date: 02/28/2021 Bed Capacity: 77 12 SNF, 0 NF, 65 SNF/NF, 0 NCC, 0 RES FWTN LLC d/b/a NORTH WOODS VILLAGE AT INVERNESS LAKE 8075 GLENCARIN BOULEVARD FORT WAYNE, IN 46804 Administrator: AMANDA CIAK Tel: (260)420-1866 Fax: (260)432-0031 License Number : 19-013612-1 Lic Expire Date: 11/30/2020 Bed Capacity: 62 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 62 RES PARK PLACE II, LLC d/b/a PARK PLACE II, LLC 4411 PARK PLACE DR FORT WAYNE, IN 46845 Administrator: KRISTIN TOWNSLEY Tel: (260)480-2500 Fax: (260)480-2521 License Number : 20-012582-1 Lic Expire Date: 03/31/2021 Bed Capacity: 196 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 196 RES MAJOR HOSPITAL d/b/a SAGE BLUFF HEALTH & REHAB CENTER 4180 SAGE BLUFF CROSSING FORT WAYNE, IN 46804 Administrator: KEVIN KAUFFMAN Tel: (260)443-7300 Fax: (260)482-5005 License Number : 19-013293-1 Lic Expire Date: 07/31/2020 Bed Capacity: 84 44 SNF, 0 NF, 40 SNF/NF, 0 NCC, 0 RES ADAMS COUNTY MEMORIAL HOSPITAL d/b/a SAINT ANNE HOME 1900 RANDALLIA DR FORT WAYNE, IN 46805 Administrator: ELAINE WILSON Tel: (260)484-5555 Fax: (260)482-8929 License Number : 19-000240-1 Lic Expire Date: 08/31/2020 Bed Capacity: 278 16 SNF, 0 NF, 150 SNF/NF, 0 NCC, 112 RES JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL d/b/a SIGNATURE HEALTHCARE OF FORT WAYNE 6006 BRANDY CHASE COVE FORT WAYNE, IN 46815 Administrator: DAVID HOLBROOK Tel: (260)486-3001 Fax: (260)486-5866 License Number : 20-000153-1 Lic Expire Date: 07/31/2021 Bed Capacity: 99 0 SNF, 0 NF, 99 SNF/NF, 0 NCC, 0 RES COOK ROAD AAL LP d/b/a SILVER BIRCH AT COOK ROAD 3731 WEST COOK ROAD FORT WAYNE, IN 46818 Administrator: ANGELA OTIS Tel: (260)447-8811 Fax: ( ) - License Number : 20-014553-2 Lic Expire Date: 08/31/2020 Bed Capacity: 125 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 125 RES FORT WAYNE AAL LP d/b/a SILVER BIRCH OF FORT WAYNE 7125 S HANNA STREET FORT WAYNE, IN 46816 Administrator: MICHAEL LEHMAN Tel: (260)447-8811 Fax: ( ) - License Number : 20-014316-1 Lic Expire Date: 06/30/2021 Bed Capacity: 125 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 125 RES HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a SUMMIT CITY NURSING AND REHABILITATION 2940 N CLINTON ST FORT WAYNE, IN 46805 Administrator: JAE GERARDOT Tel: (260)484-0602 Fax: (260)471-2244 License Number : 20-000079-1 Lic Expire Date: 02/28/2021 Bed Capacity: 93 5 SNF, 0 NF, 88 SNF/NF, 0 NCC, 0 RES BHI SENIOR LIVING, INC d/b/a TOWNE HOUSE RETIREMENT COMMUNITY 2209 ST JOE CENTER RD FORT WAYNE, IN 46825 Administrator: AMY SCHEFFER Tel: (260)483-3116 Fax: (260)969-8072 License Number : 19-000541-1 Lic Expire Date: 09/30/2020 Bed Capacity: 447 32 SNF, 0 NF, 0 SNF/NF, 75 NCC, 340 RES MAJOR HOSPITAL d/b/a WOODVIEW A WATERS COMMUNITY 3420 EAST STATE BLVD FORT WAYNE, IN 46805 Administrator: JINA ROBBINS Tel: (260)484-3120 Fax: (260)482-1434 License Number : 20-000158-1 Lic Expire Date: 12/31/2021 Bed Capacity: 128 47 SNF, 71 NF, 0 SNF/NF, 10 NCC, 0 RES
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