# JOHNSON MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miller's Health & Rehab by Miller's Merry Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881001527
- **Authorized official:** MR. STEVEN J BERKHOUSE (CFO)
- **Authorized official phone:** (317) 346-7939

## Contact information

- **Practice address:** 3530 MONROE STREET, LA PORTE, IN 46350
- **Practice address phone:** (219) 841-8020
- **Practice address fax:** (219) 325-3715
- **Mailing address:** 1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
- **Mailing address phone:** (317) 736-3300
- **Mailing address fax:** (574) 267-4908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 14-000194-1 | IN | Yes |

## Other

- **Enumeration date:** 07/15/2014
- **Last updated:** 01/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100267790 | — | IN |