MAJESTIC CARE OF SOUTHPORT
NPI 1669410593
Skilled Nursing Facility in Indianapolis, IN

Active since June 03, 2006CLIA 15D0681241 · Waiver
1/5
Overall Rating
8549 MADISON AVENUE, INDIANAPOLIS, IN 46227(317) 881-9164(317) 887-4060 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2022, Sep 13, 2017 (2 updates tracked since 2017).

About Majestic Care Of Southport NPPES

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

MAJESTIC CARE OF SOUTHPORT (NPI 1669410593) is a healthcare organization registered as a skilled nursing facility in Indianapolis, Indiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Gregg A. Malott, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669410593
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePULASKI MEMORIAL HOSPITAL
Location Address8549 MADISON AVENUEIndianapolis, IN 46227-6153
Mailing Address8549 Madison AvenueIndianapolis, IN 46227-6153 · (317) 881-9164 · Fax (317) 887-4060
Fax(317) 887-4060
Organization SubpartNo
Authorized OfficialGregg A. MalottCfo · (574) 946-2100
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
NPI 1669410593 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 · 05-000151-1
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.
8549 MADISON AVENUE, Indianapolis, IN 46227

Other Names 1

Doing Business AsMajestic Care Of Southport

Other Identifiers 1

Medicaid100284060IN

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 15D0681241

Majestic Care Of Southport · Indianapolis, IN
Active · expires Aug 31, 2026
CLIA Number15D0681241
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRenita Mccarly
Laboratory Phone(317) 881-9164
Laboratory LocationMajestic Care Of Southport8549 S Madison Ave, Indianapolis, IN 46227
CLIA data matches this NPI record on: Name Phone
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 Majestic Care Of Southport (CMS certification number 155247), from CMS Care Compare.

Majestic Care Of Southport

Nursing home · Indianapolis, IN
1/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number155247
Certified Beds140 beds82 residents per day on average
Medicare & Medicaid Participant SinceMarch 29, 1985
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
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.
140.67
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 1.92 · LPN 0.81 · RN 0.54
3.27 hrs per resident per day
Weekend Nurse Staffing
2.87 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60.9%
Registered Nurse Turnover
77.8%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
6
Infection-Control Citations
1
Fines
3 totaling $78,318.50
Medicare Payment Denials
1
Total Penalties
4
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 Pulaski Memorial Hospital's NPI number?

The NPI number for Pulaski Memorial Hospital is 1669410593. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Majestic Care Of Southport.

Where is Pulaski Memorial Hospital located?

Pulaski Memorial Hospital is located at 8549 Madison Avenue, Indianapolis, IN 46227. The listed phone number is (317) 881-9164.

What is Pulaski Memorial Hospital's specialty?

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

Does Pulaski Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0681241) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pulaski Memorial Hospital a Medicare-certified nursing home?

Yes. Majestic Care Of Southport is a Medicare-certified nursing home with 140 certified beds.

What quality rating does Pulaski Memorial Hospital have?

CMS rates Majestic Care Of Southport 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Pulaski Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Pulaski 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 Pulaski Memorial Hospital was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.