1. Home
  2. Directory
  3. Indiana
  4. Evansville
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

EVANSVILLE PROTESTANT HOME
NPI 1790986792
Nursing Facility/Intermediate Care Facility in Evansville, IN

Active since May 29, 2007CLIA 15D0361750 · Waiver
4/5
Overall Rating
3701 WASHINGTON AVE, EVANSVILLE, IN 47714(317) 476-3360 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evansville Protestant Home NPPES

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

EVANSVILLE PROTESTANT HOME (NPI 1790986792) is a healthcare organization registered as a nursing facility/intermediate care facility in Evansville, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brian K Ring, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1790986792
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameHENRY COUNTY MEMORIAL HOSPITAL
Location Address3701 WASHINGTON AVEEvansville, IN 47714-0544
Mailing Address3701 Washington AveEvansville, IN 47714-0544 · (812) 476-3360
Phone(317) 476-3360
Organization SubpartNo
Authorized OfficialBrian K RingPresident & Ceo · (765) 521-1443
Enumeration DateMay 29, 2007
Last NPPES UpdateJune 3, 2024
✔ NPI 1790986792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IN · 06-001125-1
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
3701 WASHINGTON AVE, Evansville, IN 47714
Open in Google Maps ↗

Other Names 1

Doing Business AsEvansville Protestant Home

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 15D0361750

Evansville Protestant Home · Evansville, IN
Active · expires Aug 31, 2026
CLIA Number15D0361750
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTammy S. Caroll
Laboratory Phone(812) 476-3360
Laboratory LocationEvansville Protestant Home3701 Washington Avenue, Evansville, IN 47714
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 Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Evansville Protestant Home (CMS certification number 155768), from CMS Care Compare.

Evansville Protestant Home

Nursing home · Evansville, IN
4/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number155768
Certified Beds49 beds44 residents per day on average
Medicare & Medicaid Participant SinceJune 13, 2008
Resident & Family CouncilResident and family councils
Continuing care retirement community Automatic sprinkler system Ownership changed in last 12 months

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
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.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
20
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 2.79 · LPN 0.86 · RN 0.88
4.54 hrs per resident per day
Weekend Nurse Staffing
3.89 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
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
1 totaling $9,750.00
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.

Other Providers at the Same Location NPPES 3

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

ELLIE PIKE COTA
Occupational Therapist
3701 WASHINGTON AVE
EVANSVILLE, IN 47714
Vanderburgh County (812) 476-3360
MICHANNE SMIDDY PTA
Physical Therapy Assistant
3701 WASHINGTON AVE
EVANSVILLE, IN 47714
Vanderburgh County (812) 476-3360
ERIN E FETCHER
Physical Therapy Assistant
3701 WASHINGTON AVE
EVANSVILLE, IN 47714
Vanderburgh County (812) 476-3360

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 1790986792. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Evansville Protestant Home.

Where is Henry County Memorial Hospital located?

Henry County Memorial Hospital is located at 3701 Washington Ave, Evansville, IN 47714. The listed phone number is (317) 476-3360.

What is Henry County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Henry County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0361750) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. Evansville Protestant Home is a Medicare-certified nursing home with 49 certified beds.

What quality rating does Henry County Memorial Hospital have?

CMS rates Evansville Protestant Home 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 Henry County Memorial Hospital was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.