NPIMap

Organization Active NPI

Putnam County Hospital

Doing business as Century Villa Health Care

  • Skilled Nursing Facility
  • Greentown, IN
National Provider Identifier
1932449154
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PUTNAM COUNTY HOSPITAL
Doing business as
Century Villa Health Care
Practice address
705 N Meridian St
Greentown, IN 46936-1246
Phone
(765) 628-3377
Fax
(765) 628-3950
NPI assigned
Feb 25, 2013
Last updated
May 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Roger S Boruff
Title
Chief Financial Officer
Phone
(765) 655-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

705 N Meridian St
Greentown, IN 46936-1246

Mailing address

705 N Meridian St
Greentown, IN 46936-1246
Phone (765) 628-3377

Other names 1

  • Century Villa Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180301001378 IN Part A Provider - Skilled Nursing Facility 1951396605 Practice locations: Greentown, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932449154. Details of each certification follow.

Skilled nursing facility certification: CCN 155510

Legal name
PUTNAM COUNTY HOSPITAL
Doing business as
CENTURY VILLA HEALTH CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 1, 1994
Last certification
Oct 2, 2024
Beds
168 (84 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Putnam County Hospital
Organization structure
OtherNon-profit
Enrollment address
705 N Meridian St
Greentown, IN 46936-1246
Nursing home name
CENTURY VILLA HEALTH CARE
Affiliated entity
EXCEPTIONAL LIVING CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Century Villa Health CareCCN 155510 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8470.6 residents per day on average
Chain
Exceptional Living Centers10 facilities in the chain

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

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.

NameRoleSinceShare
Exceptional Therapy LLC Organization, Lexington, KY LLC Adp of the SNF Feb 1, 2018
Walter T Watts Individual Operational/Managerial Control Dec 1, 2010
David C Craig Individual Operational/Managerial Control Jul 17, 2023
Adp of the SNF Jul 17, 2023
Brenda Campbell Individual Operational/Managerial Control Feb 1, 2018
Adp of the SNF Feb 1, 2018
Matthew L Headley Individual Managing Control - Governing BodyBoard Member Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Linda McDaniel Individual Adp of the SNF Aug 1, 2023
Putnam County Hospital Organization, Greencastle, IN 5% Or Greater Direct Ownership Interest Feb 1, 2018 100%
Sarah Warren Individual Operational/Managerial Control May 11, 2015
Adp of the SNF May 11, 2015
Jayme Lewis Individual Adp of the SNF Aug 15, 2022
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 BodyPresident Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Angela Sutton Individual Operational/Managerial Control Jan 8, 2018
Adp of the SNF Jan 8, 2018
Janice M Fry Individual Managing Control - Governing BodyBoard Member Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Vahid-David Sedaghat Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Carol Gibson Individual Adp of the SNF May 31, 2016
Steven C Cook Individual Operational/Managerial Control Nov 18, 2024
Adp of the SNF Nov 18, 2024
Samuel Cooper Individual Adp of the SNF Aug 15, 2022
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
Trustee of the SNF May 20, 2024
Medical Rehabilitation Centers, LLC Organization, Lexington, KY LLC, For-profit Operational/Managerial Control Feb 1, 2018
Adp of the SNF Feb 1, 2018
Michael W Gerig Individual Operational/Managerial Control Jan 15, 2018
Adp of the SNF Jan 15, 2018
Karleen Breathett Individual Adp of the SNF Sep 14, 2023
Thomas Yurt Individual Adp of the SNF Mar 31, 2023
Mark Wood Individual Managing Control - Governing BodyBoard Member Aug 5, 2024
Trustee of the SNF Aug 25, 2024
Annette Wenzler Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Morgan Wright Individual Adp of the SNF May 11, 2009
Hoplen Starkey Individual Operational/Managerial Control Mar 25, 2025
Adp of the SNF Mar 25, 2025
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 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
Richland Bean Blossom Health Care CenterEllettsville, IN, CCN 155523 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2015
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 33

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

View all 33

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1932449154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N MERIDIAN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361246",
            "telephone_number": "765-628-3377",
            "fax_number": "765-628-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N MERIDIAN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361246",
            "telephone_number": "765-628-3377",
            "fax_number": "765-628-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "BORUFF",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "765-655-2620"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Villa Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Century Villa Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greentown, IN

Sources for this page

Verify at the official NPI Registry.