Putnam County Hospital
Organization Active NPI Skilled Nursing Facility · Crawfordsville, IN
NPI 1760816623 · NPPES record last updated Apr 6, 2016
Key facts
- NPI
- 1760816623
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- PUTNAM COUNTY HOSPITAL
- Practice address
- 517 N Concord Rd
Crawfordsville, IN 47933-9002 - Phone
- (765) 362-9122
- NPI assigned
- Aug 28, 2013
- Organization subpart
- No
Authorized official
- Name
- Dennis Weatherford
- Title
- President & Ceo
- Phone
- (765) 655-2620
Owners & managing parties with NPI records 3
-
Saad A. Hafidh, M.D
-
Keith Peter Landry, M.D.
Corporate family (same tax ID) 25
Facilities with the same owner 24
Affiliated clinicians 2
-
Saad A. Hafidh, M.D
-
Barry A Mathison, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Wellbrooke of Crawfordsville
- 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
- For profit - Limited Liability company
- Certified
- Nov 14, 2013
- Medicare certification status
- Active
- Certified beds
- 70 · 54.5 residents per day on average
- Chain
- Trilogy Health Services
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2065193 | Wellbrooke of Crawfordsville | Certificate of waiver | Sep 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155812
- Legal name
- PUTNAM COUNTY HOSPITAL
- Doing business as
- WELLBROOKE OF CRAWFORDSVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Nov 14, 2013
- Last certification
- Aug 7, 2024
- Beds
- 135 (70 certified)
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Trilogy Health Services
- Organization structure
- Other · Non-profit
- Enrollment address
- 517 N Concord Rd
Crawfordsville, IN 47933-9006 - Nursing home name
- WELLBROOKE OF CRAWFORDSVILLE
- Affiliated entity
- TRILOGY HEALTH SERVICES
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| American Healthcare Reit Inc |
Adp of the SNF | Oct 1, 2018 | |
| Matthew L Headley |
Managing Control - Governing Body |
Sep 1, 2012 | |
| Trustee of the SNF | Sep 1, 2012 | ||
| Putnam County Hospital |
5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 100% |
| Gahc3 Trilogy JV LLC |
Adp of the SNF | Dec 1, 2015 | |
| Debra K Sillery |
Corporate Director |
Jan 3, 2026 | |
| Trustee of the SNF | Jan 3, 2026 | ||
| 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 | ||
| American Healthcare Reit Holdings LP |
Adp of the SNF | Dec 1, 2015 | |
| Janice M Fry |
Managing Control - Governing Body |
Sep 1, 2012 | |
| Trustee of the SNF | Sep 1, 2012 | ||
| Isaac Zull |
Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jun 1, 2025 | ||
| Dennis a Weatherford |
Operational/Managerial Control | Sep 18, 2012 | |
| Managing Control - Governing Body |
Sep 18, 2012 | ||
| Wendell Underwood |
Managing Control - Governing Body |
Aug 5, 2024 | |
| Trustee of the SNF | Aug 5, 2024 | ||
| Saad a Hafidh |
Operational/Managerial Control | Apr 15, 2025 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Paragon Outpatient Rehabilitation Services LLC |
Adp of the SNF | Dec 1, 2015 | |
| Mark Wood |
Managing Control - Governing Body |
Aug 5, 2024 | |
| Trustee of the SNF | Aug 5, 2024 | ||
| Trilogy Propco Master Tenant III LLC |
Adp of the SNF | Aug 21, 2025 | |
| Continental Merger Sub LLC |
Adp of the SNF | Oct 1, 2021 | |
| Gahc4 Trilogy JV LLC |
Adp of the SNF | Oct 1, 2018 | |
| Katrina Ann Lewis |
Managing Control - Governing Body |
Dec 21, 2022 | |
| Trustee of the SNF | Dec 21, 2022 | ||
| MPG Crawfordsville, L.P. |
Adp of the SNF | Dec 1, 2015 | |
| LCS Crawfordsville LLC |
Operational/Managerial Control | Jul 1, 2015 |
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 |
| Owen Valley Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| 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 |
| 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 |
|---|---|---|---|---|
| O20150826000039 | IN | Part a Provider - Skilled Nursing Facility | 1951396605 | Practice locations: Crawfordsville, IN |
National Provider Directory
- Tax ID family
- Putnam Surgical Special
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
517 N Concord Rd
Crawfordsville, IN 47933-9002
Mailing address
PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201279670A | Medicaid | IN |
Other names
- Wellbrooke of Crawfordsville
Other providers in Crawfordsville, IN
- Pravin M Patel, MD Inc
- Kenneth Primm
- Proactive Mso, LLC
- Proactive Mso, LLC
- Putnam County Hospital
- Michael Railling
- Haley Lynn Randolph
- Stephen W. Rasmussen
- Jill Ratcliff
- Mariah Reamer
All providers in Crawfordsville, 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 Apr 6, 2016. 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.