BRICKYARD HEALTHCARE - PORTAGE CARE CENTER
NPI 1275703092
Skilled Nursing Facility in Portage, IN

Active since March 07, 2008CLIA 15D0683454 · Waiver
1/5
Overall Rating
3175 LANCER ST, PORTAGE, IN 46368(219) 762-9571 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brickyard Healthcare - Portage Care Center NPPES

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

BRICKYARD HEALTHCARE - PORTAGE CARE CENTER (NPI 1275703092) is a healthcare organization registered as a skilled nursing facility in Portage, Indiana and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kevin P Speer, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1275703092
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHENDRICKS COUNTY HOSPITAL
Location Address3175 LANCER STPortage, IN 46368-4407
Mailing Address3175 Lancer StPortage, IN 46368-4407 · (219) 762-9571
Organization SubpartNo
Authorized OfficialKevin P SpeerPresident/ceo · (317) 745-4451
Enumeration DateMarch 7, 2008
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
NPI 1275703092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

3175 LANCER ST, Portage, IN 46368

Other Names 1

Doing Business AsBrickyard Healthcare - Portage Care Center

Other Identifiers 1

Medicaid100290980IN

Accepted Insurance

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 15D0683454

Brickyard Healthcare - Portage Care Center · Portage, IN
Active · expires Aug 31, 2026
CLIA Number15D0683454
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas D. Devine
Laboratory Phone(219) 762-9571
Laboratory LocationBrickyard Healthcare - Portage Care Center3175 Lancer St, Portage, IN 46368
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 1 out of 5 stars - Much Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 4 out of 5 stars - Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 3 out of 5 stars - Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 1 out of 5 stars - Much Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours1.89 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.58 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover41.2%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Administrator Turnover3
Number of administrators who left the nursing home within a given year.
Ownership TypeFor profit - Limited Liability company
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds186 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day137 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints19 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections3 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties1 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines1 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$9,750.00
Total monetary amount of fine imposed on the facility in the last 3 years.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3175 LANCER ST
PORTAGE, IN 46368
Nurse Practitioner (Family)
3175 LANCER ST
PORTAGE, IN 46368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275703092, enumerated as an "organization" on March 07, 2008.

The provider is located at 3175 LANCER ST PORTAGE, IN 46368 and the phone number is (219) 762-9571.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.