Witham Memorial Hospital
Organization Active NPI Skilled Nursing Facility · Gas City, IN
NPI 1235316142 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1235316142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 11-000137-1 (IN)
- Legal business name
- WITHAM MEMORIAL HOSPITAL
- Practice address
- 627 E North H St
Gas City, IN 46933-1233 - Phone
- (765) 674-8516
- Fax
- (765) 674-5075
- NPI assigned
- Jan 23, 2008
- Organization subpart
- No
Authorized official
- Name
- Kelly Braverman
- Title
- Ceo, President
- Phone
- (765) 485-8100
Owners & managing parties with NPI records 1
-
Andrew Joseph Offerle, M.D.
Corporate family (same tax ID) 36
Facilities with the same owner 31
Medicare Care Compare: Nursing home
- Listed as
- Twin City Health Care
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Apr 13, 1984
- Medicare certification status
- Active
- Certified beds
- 75 · 38.2 residents per day on average
- Chain
- HCF Management Indiana
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0716565 | Twin City Health Care | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155232
- Legal name
- WITHAM MEMORIAL HOSPITAL
- Doing business as
- TWIN CITY HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 13, 1984
- Last certification
- Sep 17, 2024
- Beds
- 75
- Ownership / control type
- County
- Multi-facility organization
- Magnolia Health Systems Inc.
- Organization structure
- Government · Non-profit
- Enrollment address
- 627 E North H St
Gas City, IN 46933-1233 - Nursing home name
- TWIN CITY HEALTH CARE
- Affiliated entity
- HCF MANAGEMENT INDIANA
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Stuart B Reed |
Operational/Managerial Control | Nov 1, 2011 | |
| Magnolia Health Systems Inc |
Adp of the SNF | Nov 1, 2011 | |
| Jonathan Ward |
Adp of the SNF | Nov 1, 2011 | |
| Julie Reagan |
Corporate Director |
Sep 25, 2024 | |
| Kelly Braverman |
Corporate Officer |
Dec 1, 2021 | 100% |
| Jessica Sanders |
Operational/Managerial Control | Oct 29, 2025 | |
| Adp of the SNF | Oct 29, 2025 | ||
| Witham Memorial Hospital |
5% Or Greater Direct Ownership Interest | Nov 1, 2011 | 100% |
| Daniel E Sellers |
Corporate Officer |
Jun 20, 2024 | |
| Andrew Offerle |
Operational/Managerial Control | Oct 29, 2025 | |
| Adp of the SNF | Oct 29, 2025 | ||
| Michael Jason Hornbecker |
Corporate Director |
Jan 1, 2024 | |
| Andrea Castetter |
Corporate Director |
Jan 1, 2023 | |
| Sabra Health Care Limited Partnership |
Adp of the SNF | Nov 1, 2011 | |
| Magnolia Health Management VII |
Operational/Managerial Control | Nov 1, 2011 | 100% |
| Claude a Hawkins |
Corporate Director |
Sep 1, 2013 | |
| John W Brand |
Corporate Director |
Jan 1, 2015 | |
| Magnolia Health Systems 59, LLC |
Adp of the SNF | Nov 13, 2025 | |
| Brett Bayston |
Corporate Director |
Jan 1, 2023 |
All facility ownership & control disclosures 31
| Facility | Type | Role | Since |
|---|---|---|---|
| Witham Health Services |
Hospital | Operational/Managerial Control (100%) | Nov 24, 2011 |
| Ambassador Healthcare |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2011 |
| Vermillion Convalescent Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2011 |
| Westridge Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2011 |
| Persimmon Ridge Rehabilitation Centre |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2011 |
| Grand Valley Health & Rehab |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2011 |
| Willow Crossing Health & Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2011 |
| Pineknoll Rehabilitation Centre |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2011 |
| Camelot Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Alexandria Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2012 |
| White Oak Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| St Mary Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Waterford Place Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Cumberland Pointe Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Blair Ridge Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Woodbridge Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Greenleaf Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| St Elizabeth Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Homewood Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Arlington Place Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2015 |
| Wellbrooke of Wabash |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Wellbrooke of Kokomo |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| The Villages at Historic Silvercrest |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2015 |
| The Springs at Lafayette |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Wellbrooke of Carmel |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Clearvista Lake Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| McGivney Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2015 |
| Brooke Knoll Village |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2021 |
| Westminster Village Kentuckiana |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2023 |
| Suburban Home Health, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (10.27%) | Sep 3, 2024 |
| Suburban Hospice |
Hospice | 5% Or Greater Indirect Ownership Interest (10.27%) | Nov 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120111000777 | IN | Part a Provider - Skilled Nursing Facility | 4082523170 | Practice locations: Gas City, IN |
National Provider Directory
- Tax ID family
- Hoosier Enterprises II Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 11-000137-1 | IN | Yes |
Addresses
Primary practice location
627 E North H St
Gas City, IN 46933-1233
Mailing address
9480 Priority Way West Dr
Indianapolis, IN 46240-1470
Phone (317) 818-1240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100266140 | Medicaid | IN |
Other names
- TWIN CITY HEALTH CARE
Other providers in Gas City, IN
- Edward Watts Jr.
- Alec Douglas Willard
- Jessica Williams
- Julie Willmert
- Jamy Nicole Wisher
- James B Wright
- Sandra L Wright
- Jade Elizabeth Yoder
All providers in Gas City, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.