Putnam County Hospital
Organization Active NPI Skilled Nursing Facility · Spencer, IN
NPI 1467555748 · NPPES record last updated Aug 3, 2015
Key facts
- NPI
- 1467555748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 06-010892-1 (IN)
- Legal business name
- PUTNAM COUNTY HOSPITAL
- Practice address
- 920 W State Highway 46
Spencer, IN 47460-6749 - Phone
- (812) 829-2331
- Fax
- (812) 829-2668
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Dennis Weatherford
- Title
- President & Ceo
- Phone
- (812) 522-0170
Owners & managing parties with NPI records 2
-
Keith Peter Landry, M.D.
Corporate family (same tax ID) 25
Facilities with the same owner 41
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Owen Valley Rehabilitation and Healthcare Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 13, 1999
- Medicare certification status
- Active
- Certified beds
- 113 · 76.5 residents per day on average
- Chain
- Castle Healthcare
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0954682 | Owen Valley Rehabilitation and Healthcare Center | Certificate of waiver | Dec 4, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155661
- Legal name
- PUTNAM COUNTY HOSPITAL
- Doing business as
- OWEN VALLEY REHABILITATION AND HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Apr 13, 1999
- Last certification
- Dec 9, 2024
- Beds
- 113
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Castle Healthcare
- Organization structure
- Other · Non-profit
- Enrollment address
- 920 W State Highway 46
Spencer, IN 47460-6749 - Nursing home name
- OWEN VALLEY REHABILITATION AND HEALTHCARE CENTER
- Affiliated entity
- CASTLE HEALTHCARE
All disclosed owners & managing parties 26
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Jan 1, 2025 | |
| Matthew L Headley |
Managing Control - Governing Body |
Sep 1, 2012 | |
| Trustee of the SNF | Sep 1, 2012 | ||
| Tanequa Footman |
Operational/Managerial Control | Feb 17, 2025 | |
| Adp of the SNF | Feb 17, 2025 | ||
| Shai Berdugo |
Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Putnam County Hospital |
5% Or Greater Direct Ownership Interest | May 1, 2015 | 100% |
| |
Adp of the SNF | Oct 1, 2015 | |
| |
Adp of the SNF | Sep 1, 2022 | |
| |
Adp of the SNF | May 1, 2015 | |
| LT Care Acquisition Corp |
Operational/Managerial Control | Sep 1, 2022 | |
| Adp of the SNF | Sep 1, 2022 | ||
| Debra K Sillery |
Corporate Director |
Jan 3, 2026 | |
| Trustee of the SNF | Jan 3, 2026 | ||
| Barbara Diane G Wells |
Operational/Managerial Control | Sep 1, 2022 | |
| Adp of the SNF | Sep 1, 2022 | ||
| Keith P Landry |
Managing Control - Governing Body |
Sep 1, 2020 | |
| Trustee of the SNF | Sep 1, 2020 | ||
| Arnold D Bray |
Managing Control - Governing Body |
Sep 1, 2012 | |
| Trustee of the SNF | Sep 1, 2012 | ||
| James a Nerone |
Operational/Managerial Control | Sep 1, 2022 | |
| Managing Control - Governing Body | Sep 1, 2022 | ||
| Owen Valley Rehabilitation and Healthcare Center, LLC |
Operational/Managerial Control | May 1, 2015 | |
| Adp of the SNF | May 1, 2015 | ||
| Clayshire LLC |
Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| |
Adp of the SNF | Jan 1, 2025 | |
| Janice M Fry |
Managing Control - Governing Body |
Sep 1, 2012 | |
| Trustee of the SNF | Sep 1, 2012 | ||
| Dennis a Weatherford |
Operational/Managerial Control | Sep 18, 2012 | |
| Managing Control - Governing Body |
Sep 18, 2012 | ||
| Trustee of the SNF | Sep 18, 2012 | ||
| |
Adp of the SNF | Jan 1, 2025 | |
| Wendell Underwood |
Managing Control - Governing Body |
May 20, 2024 | |
| Trustee of the SNF | May 20, 2024 | ||
| Mark Wood |
Managing Control - Governing Body |
Aug 5, 2024 | |
| Trustee of the SNF | Aug 5, 2024 | ||
| Owen Valley Realty LLC |
5% Or Greater Mortgage Interest | Sep 1, 2022 | 100% |
| Adp of the SNF | Sep 1, 2022 | ||
| |
Adp of the SNF | May 1, 2025 | |
| Castle Indiana Management LLC |
Adp of the SNF | Jan 1, 2023 | |
| Katrina Ann Lewis |
Managing Control - Governing Body |
Dec 21, 2022 | |
| Trustee of the SNF | Dec 21, 2022 |
All facility ownership & control disclosures 25
| Facility | Type | Role | Since |
|---|---|---|---|
| Putnam County Hospital |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Putnam County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 30, 2015 |
| The Waters of Princeton |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Providence Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2013 |
| The Waters of Greencastle |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 23, 2014 |
| The Waters of Martinsville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
May 23, 2014 Jun 9, 2026 |
| Cobblestone Crossings Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Mill Pond Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Wellbrooke of Avon |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Wellbrooke of Crawfordsville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Vernon Health & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Hutsonwood at Brazil |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jun 1, 2015 Sep 19, 2025 |
| Harrisons Crossings Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Richland Bean Blossom Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2015 |
| Century Villa Health Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2018 |
| Northview Health and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2018 |
| Summit Health and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2018 |
| Elwood Health and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2018 |
| The Waters of Huntingburg |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2020 |
| The Waters of Scottsburg |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2020 |
| Family Medicine of Cloverdale |
Rural health clinic | Operational/Managerial Control | Apr 2, 2013 |
| Putnam Pediatrics and Internal Medicine |
Rural health clinic | Operational/Managerial Control | Apr 2, 2013 |
| North Putnam Family Healthcare |
Rural health clinic | Operational/Managerial Control | Apr 2, 2013 |
| Family Medicine of Greencastle |
Rural health clinic | Operational/Managerial Control | Oct 31, 2020 |
| Putnam Prompt Care |
Rural health clinic | Operational/Managerial Control | Dec 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150610001020 | IN | Part a Provider - Skilled Nursing Facility | 1951396605 | Practice locations: Spencer, IN |
National Provider Directory
- Tax ID family
- Putnam Surgical Special
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 06-010892-1 | IN | Yes |
Addresses
Primary practice location
920 W State Highway 46
Spencer, IN 47460-6749
Mailing address
PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200229560A | Medicaid | IN |
Other names
- Owen Valley Health Campus
Other providers in Spencer, IN
- Margaret Eden Butler Pejeau
- Carol Petry
- Kurt S Petry
- Ashley Nicole Powell
- Proactive Mso, LLC
- RCG Bloomington, LLC
- Cindy Rhodenbaugh
- Corinne R Riebow
- Angela Robinson
- Haylie Elizabeth Romer
All providers in Spencer, 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 Aug 3, 2015. 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.