NPIMap

Organization Active NPI

Putnam County Hospital

  • Skilled Nursing Facility
  • Bloomington, IN
National Provider Identifier
1659366128
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040005581 Issued in IN
Legal business name
PUTNAM COUNTY HOSPITAL
Practice address
5911 W State Road 46
Bloomington, IN 47404-9359
Phone
(812) 876-6400
Fax
(812) 876-1122
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Brenda Campbell
Title
Accounts Receivable Manager
Phone
(859) 255-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040005581 IN Primary

Addresses

Primary practice location

5911 W State Road 46
Bloomington, IN 47404-9359

Mailing address

1050 Chinoe Rd
Suite 350
Lexington, KY 40502-6571
Phone (859) 255-0075

Other identifiers 1

IdentifierTypeStateIssuer
100267550AMedicaidIN

Other names 1

  • Richland Bean Blossom Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151028002064 IN Part A Provider - Skilled Nursing Facility 1951396605 Practice locations: Ellettsville, IN

Skilled nursing facility certification: CCN 155523

Legal name
PUTNAM COUNTY HOSPITAL
Doing business as
RICHLAND BEAN BLOSSOM HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 3, 1994
Last certification
May 9, 2025
Beds
79 (74 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Hutsonwood
Organization structure
OtherNon-profit
Enrollment address
5911 W State Road 46, PO Box 537
Ellettsville, IN 47429-0537
Nursing home name
RICHLAND BEAN BLOSSOM HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Richland Bean Blossom Health Care CenterCCN 155523
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 3, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7455.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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 17

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

NameRoleSinceShare
Richland Bean Blossom LLC Organization, Nashville, TN LLC Operational/Managerial Control Nov 6, 2012
Adp of the SNF Sep 19, 2025
RBB Facilities Company LLC Organization, Nashville, TN LLC Adp of the SNF Nov 6, 2012
Tonia L Davis Individual Operational/Managerial Control Apr 14, 2025
Adp of the SNF Apr 14, 2025
Matthew L Headley Individual Managing Control - Governing BodyBoard Member Sep 1, 2012
Putnam County Hospital Organization, Greencastle, IN 5% Or Greater Direct Ownership Interest Jun 1, 2015 100%
HHSS Management, LLC Organization, Nashville, TN LLC, Management services company Operational/Managerial Control Apr 1, 2020
Adp of the SNF Apr 1, 2020
Thomas James Martin Individual Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Debra K Sillery Individual Managing Control - Governing BodyBoard Member Jan 3, 2026
Trustee of the SNF Jan 3, 2026
Keith P Landry Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Arnold D Bray Individual Managing Control - Governing BodyPresident Sep 1, 2012
Hoosier West Leasing Company LLC Organization, Nashville, TN LLC Adp of the SNF Nov 6, 2012
Janice M Fry Individual Managing Control - Governing BodyBoard Member Sep 1, 2012
Hoosier Care Properties Inc Organization, Nashville, TN Corporation, Holding company Adp of the SNF Jun 1, 2015
Dennis a Weatherford Individual Operational/Managerial Control Sep 18, 2012
Managing Control - Governing BodyCeo Sep 18, 2012
Wendell Underwood Individual Managing Control - Governing BodyBoard Member May 20, 2024
Mark Wood Individual Managing Control - Governing BodyBoard Member Aug 5, 2024
Katrina Ann Lewis Individual Managing Control - Governing BodyBoard Member Dec 21, 2022

Owners & managing parties with NPI records 2

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 AvonIndianapolis, IN, CCN 155811 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 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
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 25

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

View all 25

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": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1659366128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD",
            "address_2": "SUITE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-255-0075",
            "fax_number": "859-281-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 W STATE ROAD 46",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049359",
            "telephone_number": "812-876-6400",
            "fax_number": "812-876-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "859-255-0075"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "040005581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richland Bean Blossom Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.