Manderley Health Care Center – Skilled Nursing Facility, NPI 1366440927

Manderley Health Care Center is a healthcare provider. based in Decatur, Indiana. specializing in Skilled Nursing Facility. The organization holds a License No. 050004931 (IN). The NPI Number for Manderley Health Care Center is 1366440927

Main info

Organization
Name
Manderley Health Care Center
NPI
1366440927
Phone
(260) 724-2145
Address
1100 MERCER AVENUE
Authorized Official
MR. KYLE SPRUNGER ASSISTANT CFO CPA
Enumeration Date
8 July 2005
Last Update Date
3 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Manderley Health Care Center

  • 1100 MERCER AVENUE

    PO BOX 151

    DECATUR, IN 467332303

    Phone: (260) 724-2145

    Fax: (260) 728-3852

    Type: Mailing

  • 806, South Buckeye Street, Osgood, Ripley County, Indiana, 47037, United States

    OSGOOD, IN 470371332

    Phone: (812) 689-4143

    Fax: (812) 689-4150

    Type: Mailing

  • 806 S BUCKEYE STREET

    OSGOOD, IN 470371332

    Phone: (812) 689-4143

    Fax: (812) 689-4150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20230328002565OSkilled Nursing FacilityINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46733)

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Reviews

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Frequently asked questions

Is Manderley Health Care Center listed with a National Provider Identifier?
Yes — Manderley Health Care Center has NPI 1366440927 on file in the registry.
Is Manderley Health Care Center still an active registrant?
Manderley Health Care Center carries an active NPI according to the public dataset.
How would a patient describe Manderley Health Care Center's focus?
For Manderley Health Care Center, the primary taxonomy reads as Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Manderley Health Care Center?
Travel planning: use Decatur, Indiana as the reference point for Manderley Health Care Center, then confirm.
When was this NPI issued?
Enumeration for Manderley Health Care Center is noted as July 8, 2005 where the registry provides it.

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