# HANCOCK REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellbrooke of South Bend
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821427857
- **Authorized official:** STEVEN LONG (PRESIDENT & CEO)
- **Authorized official phone:** (317) 462-5544

## Contact information

- **Practice address:** 52565 SR 933, SOUTH BEND, IN 46637
- **Practice address phone:** (574) 247-7044
- **Mailing address:** PO BOX 221648, LOUISVILLE, KY 40252-1648
- **Mailing address phone:** (502) 412-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 09/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201281730A | — | IN |