Witham Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

07-000547-1 Issued in IN

Legal business name

WITHAM MEMORIAL HOSPITAL

Practice address

1051 Cumberland Ave
West Lafayette, IN 47906-1447

Phone

(765) 463-2571

Fax

(765) 463-9401

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Kelly Braverman

Title

Ceo, President

Phone

(765) 485-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cumberland Pointe Health Campus Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Skilled nursing facility certification: CCN 155775

Legal name

WITHAM MEMORIAL HOSPITAL

Doing business as

CUMBERLAND POINTE HEALTH CAMPUS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 10, 2009

Last certification

Jun 10, 2024

Beds

197 (71 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Trilogy Health Services

Organization structure

OtherNon-profit

Enrollment address

1051 Cumberland Ave
West Lafayette, IN 47906-1447

Nursing home name

CUMBERLAND POINTE HEALTH CAMPUS

Affiliated entity

TRILOGY HEALTH SERVICES

Listed as

Cumberland Pointe Health CampusCCN 155775

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 10, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7158.7 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

Tax ID family

Hoosier Enterprises II Inc37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

All disclosed owners & managing parties 29

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

Owners & managing parties with NPI records 2

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

• John Martin Thomas, MD

  • Internal Medicine Physician
  • Lafayette, IN
  • NPI 1336108034

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  Adp of the SNF

  CMS ownership

All facility ownership & control disclosures 31

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

Facilities with the same owner 31

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

Affiliated clinicians 2

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

• Victor D Bentinganan Jr., DO

  • Family Medicine Physician
  • Otterbein, IN
  • NPI 1306814538

  Nursing home

  Care Compare affiliation
• John Martin Thomas, MD

  • Internal Medicine Physician
  • Lafayette, IN
  • NPI 1336108034

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1477798908",
    "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": "1051 CUMBERLAND AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061447",
            "telephone_number": "765-463-2571",
            "fax_number": "765-463-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHAM MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "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": "07-000547-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Pointe Health Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cumberland Pointe Health Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Domanic Wiltermood, FNP-C
• Jacey Winger
• Melinda Winhold, COTA/L
• Michelle Lee Wise
• Amanda J Wiseman, OTA
• Melanie N Wolf
• Rebecca L Wong, PH.D.
• Connor Augustus Wood
• Scott F Wood, N.P.
• Jamie Lyn Shelly Woodyard, PHARMD

• All providers in West Lafayette, 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.