# DECATUR COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Morningside Nursing and Memory Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164599304
- **Authorized official:** MS. LINDA SIMMONS (OWNER)
- **Authorized official phone:** (812) 663-1170

## Contact information

- **Practice address:** 18325 BAILEY AVE, SOUTH BEND, IN 46637
- **Practice address phone:** (574) 272-2602
- **Practice address fax:** (574) 272-2608
- **Mailing address:** 8833 GROSS POINT RD, SUITE 308, SKOKIE, IL 60077-1859
- **Mailing address phone:** (847) 679-6200
- **Mailing address fax:** (847) 679-6236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 11-004732-1 | IN | — |
| 311500000X | Alzheimer Center (Dementia Center) | 14003759 | IN | — |
| 314000000X | Skilled Nursing Facility | 15-0047321-1 | IN | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 05/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200808300A | — | IN |