# HENDRICKS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Waters of Lebanon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659369072
- **Authorized official:** MR. KEVIN SPEER (CEO/PRESIDENT)
- **Authorized official phone:** (317) 745-4451

## Contact information

- **Practice address:** 1585 PERRY WORTH ROAD, LEBANON, IN 46052-9635
- **Practice address phone:** (765) 482-6391
- **Practice address fax:** (765) 483-2590
- **Mailing address:** 1585 PERRY WORTH ROAD, LEBANON, IN 46052-9635
- **Mailing address phone:** (765) 482-6391
- **Mailing address fax:** (765) 483-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 04-000118-1 | IN | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 04/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100290470 | — | IN |