NPIMap

Organization Active NPI

Putnam County Hospital

Doing business as Wellbrooke of Avon

  • Skilled Nursing Facility
  • Indianapolis, IN
National Provider Identifier
1619318185
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
013085 Issued in IN
Legal business name
PUTNAM COUNTY HOSPITAL
Doing business as
Wellbrooke of Avon
Practice address
10307 E County Road 100 N
Indianapolis, IN 46234-1250
Phone
(317) 273-2144
Fax
(515) 875-4780
NPI assigned
Jul 12, 2013
Last updated
Feb 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Dennis Weatherford
Title
President and Ceo
Phone
(765) 655-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 013085 IN Primary

Addresses

Primary practice location

10307 E County Road 100 N
Indianapolis, IN 46234-1250

Mailing address

PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847

Other identifiers 1

IdentifierTypeStateIssuer
201279600AMedicaidIN

Other names 1

  • Wellbrooke of Avon Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150821013586 IN Part A Provider - Skilled Nursing Facility 1951396605 Practice locations: Indianapolis, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619318185. Details of each certification follow.

Skilled nursing facility certification: CCN 155811

Legal name
PUTNAM COUNTY HOSPITAL
Doing business as
WELLBROOKE OF AVON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 23, 2013
Last certification
Mar 7, 2025
Beds
124 (70 certified)
Ownership / control type
Corporation
Multi-facility organization
Trilogy
Organization structure
OtherNon-profit
Enrollment address
10307 E County Road 100 N
Indianapolis, IN 46234-1250
Nursing home name
WELLBROOKE OF AVON
Affiliated entity
TRILOGY HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wellbrooke of AvonCCN 155811 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 23, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7049.8 residents per day on average
Chain
Trilogy Health Services123 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2061956Wellbrooke of Avon10307 E County Rd 100 N, Avon, IN 46234Certificate of waiverJul 8, 2027

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

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
American Healthcare Reit Inc Organization, Irvine, CA Real estate investment trust (REIT) Adp of the SNF Oct 1, 2018
Syed K Hashmi Individual Operational/Managerial Control Apr 15, 2025
Adp of the SNF Apr 15, 2025
Trilogy Propco II LLC Organization, Louisville, KY LLC Adp of the SNF Sep 19, 2025
Matthew L Headley Individual Managing Control - Governing BodyBoard Member Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Trilogy Real Estate Investment Trust Organization, Irvine, CA Real estate investment trust (REIT) Adp of the SNF Dec 1, 2015
Putnam County Hospital Organization, Greencastle, IN 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Danielle Minito Individual Operational/Managerial Control Jun 18, 2023
Adp of the SNF Jun 18, 2023
Trilogy Reit Holdings LLC Organization, Irvine, CA LLC Adp of the SNF Dec 1, 2015
Trilogy Management Services LLC Organization, Louisville, KY Management services company, Financial institution, Chain home office Adp of the SNF Dec 1, 2015
Gahc3 Trilogy JV LLC Organization, Irvine, CA LLC Adp of the SNF Dec 1, 2015
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 BodyBoard Member Sep 1, 2012
Trustee of the SNF Sep 1, 2012
American Healthcare Reit Holdings LP Organization, Irvine, CA Holding company Adp of the SNF Dec 1, 2015
Trilogy Opco LLC Organization, Louisville, KY LLC Adp of the SNF Sep 19, 2025
LCS Avon LLC Organization, Indianapolis, IN LLC Operational/Managerial Control Jul 1, 2015
Janice M Fry Individual Managing Control - Governing BodyBoard Member Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Trilogy Pro Services LLC Organization, Louisville, KY LLC Adp of the SNF Sep 19, 2025
Dennis a Weatherford Individual Operational/Managerial Control Sep 18, 2012
Managing Control - Governing BodyCeo Sep 18, 2012
Ms Avon LP Organization, Toledo, OH Real estate investment trust (REIT) Adp of the SNF Dec 1, 2015
Wendell Underwood Individual Managing Control - Governing BodyBoard Member May 20, 2024
Trustee of the SNF May 20, 2024
Paragon Outpatient Rehabilitation Services LLC Organization, Louisville, KY LLC Adp of the SNF Dec 1, 2015
Trilogy Investors LLC Organization, Louisville, KY LLC Adp of the SNF Dec 1, 2015
Trilogy Healthcare Holdings Inc Organization, Louisville, KY Corporation Adp of the SNF Sep 19, 2025
Mark Wood Individual Managing Control - Governing BodyBoard Member Aug 5, 2024
Trustee of the SNF Aug 5, 2024
Trilogy Property Holdings LLC Organization, Louisville, KY LLC Adp of the SNF Sep 19, 2025
Trilogy Propco Master Tenant III LLC Organization, Louisville, KY LLC Adp of the SNF Sep 19, 2025
Continental Merger Sub LLC Organization, Irvine, CA LLC Adp of the SNF Oct 1, 2021
Gahc4 Trilogy JV LLC Organization, Irvine, CA LLC Adp of the SNF Oct 1, 2018
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 3

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 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
Hutsonwood at BrazilBrazil, IN, CCN 155503 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jun 1, 2015
Sep 19, 2025
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 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1619318185",
    "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": "10307 E COUNTY ROAD 100 N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462341250",
            "telephone_number": "317-273-2144",
            "fax_number": "515-875-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "WEATHERFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "765-655-2620"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "013085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201279600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellbrooke of Avon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.