Putnam County Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060003731 Issued in IN

Legal business name

PUTNAM COUNTY HOSPITAL

Doing business as

Summit Health and Living

Practice address

701 S Main St
Summitville, IN 46070

Phone

(765) 536-2261

Fax

(765) 536-4908

NPI assigned

Oct 4, 2006

Last updated

May 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis A. Weatherford

Title

Ceo

Phone

(765) 301-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summit Health and Living Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659466498. Details of each certification follow.

• CCN 155839 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 155839

Legal name

PUTNAM COUNTY HOSPITAL

Doing business as

SUMMIT HEALTH AND LIVING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 30, 2015

Last certification

Sep 9, 2024

Beds

34

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Sterling Healthcare Management

Organization structure

OtherNon-profit

Enrollment address

701 S Main St
Summitville, IN 46070-8901

Nursing home name

SUMMIT HEALTH AND LIVING

Listed as

Summit Health and LivingCCN 155839 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 30, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3430.1 residents per day on average

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

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.

• Putnam County Hospital

  dba Putnam County Hospital Pharmacy

  • Critical Access Hospital
  • Greencastle, IN
  • NPI 1083888200
  NPD tax ID
• Putnam County Hospital

  dba Johnson Nichols Health Clinic

  • Health Service Clinic/Center
  • Greencastle, IN
  • NPI 1114438579
  NPD tax ID
• Putnam County Hospital

  dba Providence Health Care Center

  • Nursing Facility/Intermediate Care Facility
  • St. Mary Woods, IN
  • NPI 1114986924
  NPD tax ID
• Putnam County Hospital

  dba The Waters of Princeton

  • Skilled Nursing Facility
  • Princeton, IN
  • NPI 1164782942
  NPD tax ID
• Putnam County Hospital

  dba Harrison's Crossing Health Campus

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1194121079
  NPD tax ID
• Putnam County Hospital

  dba HutsonWood at Brazil

  • Skilled Nursing Facility
  • Brazil, IN
  • NPI 1235294075
  NPD tax ID
• Putnam County Hospital

  • Durable Medical Equipment & Medical Supplies
  • Greencastle, IN
  • NPI 1295874097
  NPD tax ID
• Putnam County Hospital

  dba Vernon Manor Childrens Home

  • Pediatric Skilled Nursing Facility
  • Wabash, IN
  • NPI 1316932874
  NPD tax ID
• Putnam County Hospital

  dba My Wellness Putnam County

  • Family Medicine Physician
  • Greencastle, IN
  • NPI 1467321919
  NPD tax ID
• Putnam County Hospital

  dba Owen Valley Health Campus

  • Skilled Nursing Facility
  • Spencer, IN
  • NPI 1467555748
  NPD tax ID
• Putnam County Hospital

  dba Elwood Health and Living

  • Skilled Nursing Facility
  • Elwood, IN
  • NPI 1518068881
  NPD tax ID
• Putnam County Hospital

  dba The Waters of Greencastle

  • Skilled Nursing Facility
  • Greencastle, IN
  • NPI 1518905447
  NPD tax ID

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

• Daviess County Hospital

  dba Aperion Care Summerfield

  • Skilled Nursing Facility
  • Cloverdale, IN
  • NPI 1679827463

  Member Of

  NPD member
• Pulaski Memorial Hospital

  dba Asbury Towers Health Care Center

  • Skilled Nursing Facility
  • Greencastle, IN
  • NPI 1093736076

  Member Of

  NPD member
• Putnam County Hospital

  dba Williamsburg Health Care

  • Skilled Nursing Facility
  • Crawfordsville, IN
  • NPI 1437178647

  Member Of

  NPD member
• Putnam County Hospital

  dba Randolph Nursing Home

  • Skilled Nursing Facility
  • Winchester, IN
  • NPI 1841285913

  Member Of

  NPD member

All disclosed owners & managing parties 58

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 7

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

• Brandon Aiman, PA

  • Medical Physician Assistant
  • Anderson, IN
  • NPI 1831124999

  Operational/Managerial Control

  CMS ownership
• Altea Medical Indiana PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gary, IN
  • NPI 1992584783

  Adp of the SNF

  CMS ownership
• Tabassum Hatimi, MD

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1881652022

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Nyoka K Lamey, NP

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1902325780

  Adp of the SNF

  CMS ownership
• Keith Peter Landry, M.D.

  • Family Medicine Physician
  • Cloverdale, IN
  • NPI 1073502670

  Managing Control - Governing Body, Trustee of the SNF

  CMS ownership
• Bryon W Miller, MSN RNC

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1184615999

  Adp of the SNF

  CMS ownership
• Timothy Patrick Walbridge, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1386609071

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 25

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

Facilities with the same owner 29

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

• Adams County Memorial Hospital

  dba The Cedars

  • Skilled Nursing Facility
  • Leo, IN
  • NPI 1023003118

  Proactive Medical Review and Consultants LLC

  CMS ownership
• Adams County Memorial Hospital

  dba Heritage Pointe

  • Skilled Nursing Facility
  • Warren, IN
  • NPI 1346245271

  Proactive Medical Review and Consultants LLC

  CMS ownership
• Adams County Memorial Hospital

  dba Heritage Pointe of Huntington

  • Skilled Nursing Facility
  • Huntington, IN
  • NPI 1477556546

  Proactive Medical Review and Consultants LLC

  CMS ownership
• Adams County Memorial Hospital

  dba Heritage Pointe of Fort Wayne

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1801205240

  Proactive Medical Review and Consultants LLC

  CMS ownership
• Pulaski Memorial Hospital

  dba Asbury Towers Health Care Center

  • Skilled Nursing Facility
  • Greencastle, IN
  • NPI 1093736076

  Health Management Advisors Inc

  CMS ownership
• Putnam County Hospital

  dba Providence Health Care Center

  • Nursing Facility/Intermediate Care Facility
  • St. Mary Woods, IN
  • NPI 1114986924

  Putnam County Hospital

  CMS ownership
• Putnam County Hospital

  dba The Waters of Princeton

  • Skilled Nursing Facility
  • Princeton, IN
  • NPI 1164782942

  Putnam County Hospital

  CMS ownership
• Putnam County Hospital

  dba Harrison's Crossing Health Campus

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1194121079

  Putnam County Hospital

  CMS ownership
• Putnam County Hospital

  dba HutsonWood at Brazil

  • Skilled Nursing Facility
  • Brazil, IN
  • NPI 1235294075

  Putnam County Hospital

  CMS ownership
• Putnam County Hospital

  dba Putnam Prompt Care

  • Rural Health Clinic/Center
  • Greencastle, IN
  • NPI 1295972412

  Putnam County Hospital

  CMS ownership
• Putnam County Hospital

  dba Vernon Manor Childrens Home

  • Pediatric Skilled Nursing Facility
  • Wabash, IN
  • NPI 1316932874

  Putnam County Hospital

  CMS ownership
• Putnam County Hospital

  dba North Putnam Family Healthcare

  • Rural Health Clinic/Center
  • Bainbridge, IN
  • NPI 1376601559

  Putnam County Hospital

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica L Stewart, PA

  • Physician Assistant
  • West Terre Haute, IN
  • NPI 1710275011
  NPD

Affiliated clinicians 1

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

• Tabassum Hatimi, MD

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1881652022

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1659466498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 S. BLOOMINGTON STREET",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352212",
            "telephone_number": "765-301-7525",
            "fax_number": "765-301-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "SUMMITVILLE",
            "state": "IN",
            "postal_code": "46070",
            "telephone_number": "765-536-2261",
            "fax_number": "765-536-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "WEATHERFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-301-7300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "060003731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288730A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health and Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly S. Hodge, PHD, RN, ACNS-BC
• Miggin Montanay Hutson
• Brent Logan Kirby, MA
• Abigail L Manwell
• Amanda Middleton, MOT, OTR/L
• Abe Rosenthall, DMD
• Megan Nicole Stroup, LSW
• Summitville Volunteer Fire Dept
• Vanburen Township Madison County (Vanburen Township Fire Department)

• Skilled Nursing Facility in Summitville, IN
• Providers in Summitville, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.