HOLY CROSS VILLAGE AT NOTRE DAME, INC.
NPI 1760425391
Skilled Nursing Facility in Notre Dame, IN

Active since June 13, 2006CLIA 15D0977232 · Waiver
4/5
Overall Rating
54515 STATE ROAD 933, NOTRE DAME, IN 46556(574) 287-1838(574) 289-7277 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holy Cross Village At Notre Dame, Inc. NPPES

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

HOLY CROSS VILLAGE AT NOTRE DAME, INC. (NPI 1760425391) is a healthcare organization registered as a skilled nursing facility in Notre Dame, Indiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Jack Mueller, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1760425391
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOLY CROSS VILLAGE AT NOTRE DAME, INC.
Location Address54515 STATE ROAD 933Notre Dame, IN 46556
Mailing Address54515 State Road 933, P.o. Box 706Notre Dame, IN 46556 · (574) 287-1838 · Fax (574) 289-7277
Fax(574) 289-7277
Organization SubpartNo
Authorized OfficialJack MuellerChief Operating Officer · (574) 287-1838
Enumeration DateJune 13, 2006
Last NPPES UpdateFebruary 4, 2014
NPI 1760425391 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 · 05-002668-2
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.
54515 STATE ROAD 933, Notre Dame, IN 46556

Other Identifiers 2

Medicaid200325990IN
Medicare OSCAR/certification155745IN

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 15D0977232

Holy Cross Village At Notre Dame · Notre Dame, IN
Active · expires Aug 21, 2026
CLIA Number15D0977232
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorPatti Johnson
Laboratory Phone(574) 251-3251
Laboratory LocationHoly Cross Village At Notre Dame54515 Sr 933 N, Notre Dame, IN 46556
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 Holy Cross Village At Notre Dame Inc (CMS certification number 155745), from CMS Care Compare.

Holy Cross Village At Notre Dame Inc

Nursing home · Notre Dame, IN
4/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number155745
Certified Beds52 beds48 residents per day on average
Medicare & Medicaid Participant SinceJanuary 4, 2006
Resident & Family CouncilResident council
Continuing care retirement community 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.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
28
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 2.93 · LPN 0.66 · RN 0.95
4.54 hrs per resident per day
Weekend Nurse Staffing
4.15 hrs per resident per day
Physical Therapist Staffing
0.14 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
25.5%
Registered Nurse Turnover
0%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 Holy Cross Village At Notre Dame, Inc.'s NPI number?

The NPI number for Holy Cross Village At Notre Dame, Inc. is 1760425391. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Holy Cross Village At Notre Dame, Inc. located?

Holy Cross Village At Notre Dame, Inc. is located at 54515 State Road 933, Notre Dame, IN 46556. The listed phone number is (574) 287-1838.

What is Holy Cross Village At Notre Dame, Inc.'s specialty?

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

Does Holy Cross Village At Notre Dame, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0977232) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Holy Cross Village At Notre Dame, Inc. a Medicare-certified nursing home?

Yes. Holy Cross Village At Notre Dame Inc is a Medicare-certified nursing home with 52 certified beds.

What quality rating does Holy Cross Village At Notre Dame, Inc. have?

CMS rates Holy Cross Village At Notre Dame Inc 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Holy Cross Village At Notre Dame, Inc. was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.