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CHARLES FORD MEMORIAL HOME INC
NPI 1215630041
Hospice Care, Community Based in New Harmony, IN

Active since March 22, 2023CLIA 15D1046842 · Waiver
817 BREWERY ST, NEW HARMONY, IN 47631(812) 287-6790 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Ford Memorial Home Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES FORD MEMORIAL HOME INC (NPI 1215630041), doing business as Charles Ford Hospice In Harmony, is a healthcare organization registered as a hospice care, community based in New Harmony, Indiana and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Amy C Koch, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215630041
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCHARLES FORD MEMORIAL HOME INC
Location Address817 BREWERY STNew Harmony, IN 47631-8306
Mailing AddressPo Box 395New Harmony, IN 47631-0395 · (812) 287-6790
Phone(812) 287-6790
Organization SubpartYes
Authorized OfficialAmy C KochExecutive Director · (812) 682-4675
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 14, 2023
✔ NPI 1215630041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
817 BREWERY ST, New Harmony, IN 47631
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Other Names 2

Doing Business AsCharles Ford Hospice In Harmony
Doing Business AsThe Charles Ford Retirement Communities

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1046842

Charles Ford Memorial Home, The · New Harmony, IN
Active · expires Oct 18, 2027
CLIA Number15D1046842
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorJoseph Matthew Lee
Laboratory Phone(812) 682-4675
Laboratory LocationCharles Ford Memorial Home, The920 S Main St, New Harmony, IN 47631
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Ford Memorial Home Inc's NPI number?

The NPI number for Charles Ford Memorial Home Inc is 1215630041. It was assigned to this organization in the NPPES registry on March 22, 2023. The provider is doing business as Charles Ford Hospice in Harmony and The Charles Ford Retirement Communities.

Where is Charles Ford Memorial Home Inc located?

Charles Ford Memorial Home Inc is located at 817 Brewery St, New Harmony, IN 47631. The listed phone number is (812) 287-6790.

What is Charles Ford Memorial Home Inc's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Charles Ford Memorial Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1046842) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charles Ford Memorial Home Inc was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.