HICKORY CREEK AT COLUMBUS
NPI 1629013487
Skilled Nursing Facility in Columbus, IN

Active since June 17, 2006CLIA 15D0878088 · Waiver
2/5
Overall Rating
5480 25TH ST, COLUMBUS, IN 47203(812) 372-6136(812) 372-8726 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hickory Creek At Columbus NPPES

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

HICKORY CREEK AT COLUMBUS (NPI 1629013487) is a healthcare organization registered as a skilled nursing facility in Columbus, Indiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Brian Ring, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629013487
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHENRY COUNTY MEMORIAL HOSPITAL
Location Address5480 25TH STColumbus, IN 47203-3330
Mailing Address6081 E 82nd St, Suite 120Indianapolis, IN 46250-1795 · (317) 570-0266 · Fax (317) 570-0488
Fax(812) 372-8726
Organization SubpartNo
Authorized OfficialBrian RingPresident/ceo · (765) 521-1515
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
NPI 1629013487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IN · 05-000284-2
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.
5480 25TH ST, Columbus, IN 47203

Other Names 1

Doing Business AsHickory Creek At Columbus

Other Identifiers 1

Medicaid100290690IN

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 15D0878088

Dba Hickory Creek At Columbus Henry Co Memorial Hospital · Columbus, IN
Active · expires Oct 17, 2027
CLIA Number15D0878088
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorSabrina Morio-Hale
Laboratory Phone(812) 372-3136
Laboratory LocationDba Hickory Creek At Columbus Henry Co Memorial Hospital5480 E 25th St, Columbus, IN 47203
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Hickory Creek At Columbus (CMS certification number 155424), from CMS Care Compare.

Hickory Creek At Columbus

Nursing home · Columbus, IN
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number155424
Certified Beds36 beds29 residents per day on average
Medicare & Medicaid Participant SinceFebruary 1, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
28.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.91 · LPN 0.67 · RN 0.67
3.25 hrs per resident per day
Weekend Nurse Staffing
2.79 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
50%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
1 totaling $24,921.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Henry County Memorial Hospital's NPI number?

The NPI number for Henry County Memorial Hospital is 1629013487. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Hickory Creek At Columbus.

Where is Henry County Memorial Hospital located?

Henry County Memorial Hospital is located at 5480 25th St, Columbus, IN 47203. The listed phone number is (812) 372-6136.

What is Henry County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Henry County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0878088) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Henry County Memorial Hospital a Medicare-certified nursing home?

Yes. Hickory Creek At Columbus is a Medicare-certified nursing home with 36 certified beds.

What quality rating does Henry County Memorial Hospital have?

CMS rates Hickory Creek At Columbus 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Henry County Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Henry County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Henry County Memorial Hospital was last updated on August 17, 2022. 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.