Witham Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WITHAM MEMORIAL HOSPITAL

Practice address

269 Meadowview Dr
Peru, IN 46970-8996

Phone

(765) 472-8049

Fax

(765) 475-8895

NPI assigned

Feb 9, 2011

Organization subpart

No

Name

Kelly Braverman

Title

Ceo, President

Phone

(765) 485-8100

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

• William Charles Hoover, M.D.

  • Family Medicine Physician
  • Peru, IN
  • NPI 1689602062

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

• Hoosier Enterprises II, Inc.

  • Pediatric Skilled Nursing Facility
  • Shelbyville, IN
  • NPI 1801963053
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Martinsville, IN
  • NPI 1013926823
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • New Albany, IN
  • NPI 1124360367
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Wabash, IN
  • NPI 1144564626
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Lafayette, IN
  • NPI 1174768618
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Carmel, IN
  • NPI 1194115386
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Elkhart, IN
  • NPI 1205153269
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Gas City, IN
  • NPI 1235316142
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Alexandria, IN
  • NPI 1245399500
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Winchester, IN
  • NPI 1275732950
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Monticello, IN
  • NPI 1306165915
  NPD tax ID
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1316061575
  NPD tax ID

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

• Suburban Home Health, LLC

  • Home Health Agency
  • Noblesville, IN
  • NPI 1598872939

  Witham Memorial Hospital

  CMS ownership
• Suburban Hospice Inc

  • Community Based Hospice Care Agency
  • Noblesville, IN
  • NPI 1407963846

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Martinsville, IN
  • NPI 1013926823

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • New Albany, IN
  • NPI 1124360367

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Wabash, IN
  • NPI 1144564626

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Lafayette, IN
  • NPI 1174768618

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Carmel, IN
  • NPI 1194115386

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Elkhart, IN
  • NPI 1205153269

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Gas City, IN
  • NPI 1235316142

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Alexandria, IN
  • NPI 1245399500

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Winchester, IN
  • NPI 1275732950

  Witham Memorial Hospital

  CMS ownership
• Witham Memorial Hospital

  • Skilled Nursing Facility
  • Monticello, IN
  • NPI 1306165915

  Witham Memorial Hospital

  CMS ownership

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

• William Charles Hoover, M.D.

  • Family Medicine Physician
  • Peru, IN
  • NPI 1689602062

  Nursing home

  Care Compare affiliation

Listed as

Blair Ridge Health CampusCCN 155791

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 21, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5550.1 residents per day on average

Chain

Trilogy Health Services123 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IN

Legal name

WITHAM MEMORIAL HOSPITAL

Doing business as

BLAIR RIDGE HEALTH CAMPUS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jun 21, 2011

Last certification

Jul 17, 2024

Beds

119 (55 certified)

Ownership / control type

Corporation

Multi-facility organization

Board of Trustees of the Flavis J Witham Memorial

Organization structure

OtherNon-profit

Enrollment address

269 Meadowview Drive
Peru, IN 46970-8996

Nursing home name

BLAIR RIDGE HEALTH CAMPUS

Affiliated entity

TRILOGY HEALTH SERVICES

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

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

Tax ID family

Hoosier Enterprises II Inc (37 organizations share this tax ID)

• Blair Ridge Health Campus Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2022.

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1366748386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521648",
            "telephone_number": "502-412-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MEADOWVIEW DR",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469708996",
            "telephone_number": "765-472-8049",
            "fax_number": "765-475-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHAM MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "765-485-8100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201021970",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blair Ridge Health Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blair Ridge Health Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Wehmeyer, M.D.
• Patricia K Weidner
• Peggy L Wert, COTA
• Zoie Kay Ann Whited I
• Lisa Willis, BGS
• Susan Kay Wolf, LMHC
• Elizabeth E Wolfe
• Zoe Wolfe
• In T Yoon, M.D.
• Young Mens Christian Association

• All providers in Peru, IN
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.