NPIMap

Organization Active NPI

Putnam County Hospital

Doing business as HutsonWood at Brazil

  • Skilled Nursing Facility
  • Brazil, IN
National Provider Identifier
1235294075
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05 000514 1 Issued in IN
Legal business name
PUTNAM COUNTY HOSPITAL
Doing business as
HutsonWood at Brazil
Practice address
501 S Murphy Ave
Brazil, IN 47834-8316
Phone
(812) 446-2636
Fax
(812) 448-2537
NPI assigned
Dec 22, 2006
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Campbell
Title
Ar Manager
Phone
(859) 255-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05 000514 1 IN Primary

Addresses

Primary practice location

501 S Murphy Ave
Brazil, IN 47834-8316

Mailing address

501 S Murphy Ave
Brazil, IN 47834-8316
Phone (812) 446-2363

Other identifiers 1

IdentifierTypeStateIssuer
100266800BMedicaidIN

Other names 1

  • HutsonWood at Brazil Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151021002479 IN Part A Provider - Skilled Nursing Facility 1951396605 Practice locations: Brazil, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235294075. Details of each certification follow.

Skilled nursing facility certification: CCN 155503

Legal name
PUTNAM COUNTY HOSPITAL
Doing business as
HUTSONWOOD AT BRAZIL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1994
Last certification
Oct 22, 2024
Beds
105 (86 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
OtherNon-profit
Enrollment address
501 S Murphy Ave
Brazil, IN 47834-8316
Nursing home name
HUTSONWOOD AT BRAZIL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hutsonwood at BrazilCCN 155503 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8673.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Putnam Surgical Special26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew L Headley Individual Managing Control - Governing BodyBoard Member Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Putnam County Hospital Organization, Greencastle, IN 5% Or Greater Direct Ownership Interest Jun 1, 2015 100%
Adp of the SNF Sep 19, 2025
Camillo M Mendoza Individual Operational/Managerial Control Jan 1, 2017
Adp of the SNF Jan 1, 2017
Elc of Brazil, LLC Organization, Nashville, TN LLC Operational/Managerial Control Nov 6, 2012
Adp of the SNF Sep 19, 2025
HHSS Management, LLC Organization, Nashville, TN LLC, Management services company Operational/Managerial Control Apr 1, 2020
Adp of the SNF Apr 1, 2020
Debra K Sillery Individual Corporate DirectorBoard Member Jan 3, 2026
Trustee of the SNF Jan 3, 2026
Keith P Landry Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Arnold D Bray Individual Managing Control - Governing BodyPresident Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Hoosier West Leasing Company LLC Organization, Nashville, TN LLC Adp of the SNF Nov 6, 2012
Janice M Fry Individual Managing Control - Governing BodyBoard Member Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Hoosier Care Properties Inc Organization, Nashville, TN Corporation, Holding company Adp of the SNF Jun 1, 2015
Dennis a Weatherford Individual Operational/Managerial Control Sep 18, 2012
Managing Control - Governing BodyCeo Sep 18, 2012
Wendell Underwood Individual Managing Control - Governing BodyBoard Member May 20, 2024
Trustee of the SNF May 20, 2024
Manoj Berry Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Apr 25, 2022
Mark Wood Individual Managing Control - Governing BodyBoard of Trustees Aug 5, 2024
Trustee of the SNF Aug 5, 2024
Brazil Facility Company LLC Organization, Nashville, TN LLC Adp of the SNF Nov 6, 2012
Katrina Ann Lewis Individual Managing Control - Governing BodyBoard Member Dec 21, 2022
Trustee of the SNF Dec 21, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 25

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Putnam County HospitalGreencastle, IN, CCN 151333 Hospital Operational/Managerial Control Jul 1, 1966
Putnam County HospitalGreencastle, IN, CCN 15Z333 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2015
The Waters of PrincetonPrinceton, IN, CCN 155275 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Providence Health Care CenterSaint Mary of the Woods, IN, CCN 155802 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2013
The Waters of GreencastleGreencastle, IN, CCN 155202 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 23, 2014
The Waters of MartinsvilleMartinsville, IN, CCN 155183 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 May 23, 2014
Jun 9, 2026
Cobblestone Crossings Health CampusTerre Haute, IN, CCN 155772 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Owen Valley Rehabilitation and Healthcare CenterSpencer, IN, CCN 155661 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Mill Pond Health CampusGreencastle, IN, CCN 155736 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Wellbrooke of AvonIndianapolis, IN, CCN 155811 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Wellbrooke of CrawfordsvilleCrawfordsville, IN, CCN 155812 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Vernon Health & RehabilitationWabash, IN, CCN 155810 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Harrisons Crossings Health CampusTerre Haute, IN, CCN 155830 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Richland Bean Blossom Health Care CenterEllettsville, IN, CCN 155523 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2015
Century Villa Health CareGreentown, IN, CCN 155510 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2018
Northview Health and LivingAnderson, IN, CCN 155718 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
Summit Health and LivingSummitville, IN, CCN 155839 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
Elwood Health and LivingElwood, IN, CCN 155522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
The Waters of HuntingburgHuntingburg, IN, CCN 155217 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
The Waters of ScottsburgScottsburg, IN, CCN 155494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
Family Medicine of CloverdaleCloverdale, IN, CCN 158513 Rural health clinic Operational/Managerial Control Apr 2, 2013
Putnam Pediatrics and Internal MedicineGreencastle, IN, CCN 158515 Rural health clinic Operational/Managerial Control Apr 2, 2013
North Putnam Family HealthcareBainbridge, IN, CCN 158514 Rural health clinic Operational/Managerial Control Apr 2, 2013
Family Medicine of GreencastleGreencastle, IN, CCN 158572 Rural health clinic Operational/Managerial Control Oct 31, 2020
Putnam Prompt CareGreencastle, IN, CCN 158579 Rural health clinic Operational/Managerial Control Dec 1, 2023

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1235294075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S MURPHY AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478348316",
            "telephone_number": "812-446-2363",
            "fax_number": "812-446-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MURPHY AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478348316",
            "telephone_number": "812-446-2636",
            "fax_number": "812-448-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "859-255-0075"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05 000514 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266800B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HutsonWood at Brazil",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brazil, IN

Sources for this page

Verify at the official NPI Registry.