# HENDRICKS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brickyard Healthcare - Sycamore Village Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720030943
- **Authorized official:** KEVIN P SPEER (PRESIDENT/CEO)
- **Authorized official phone:** (317) 745-4451

## Contact information

- **Practice address:** 2905 W SYCAMORE ST, KOKOMO, IN 46901-4078
- **Practice address phone:** (765) 452-5491
- **Practice address fax:** (765) 459-5611
- **Mailing address:** 2905 W SYCAMORE ST, KOKOMO, IN 46901-4078
- **Mailing address phone:** (765) 452-5491
- **Mailing address fax:** (765) 459-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06-000258-1 | IN | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 06/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000388171 | ANTHEM INDIANA | IN |
| 05 | — | 1002 89160-B | — | IN |