WITHAM MEMORIAL HOSPITAL (NPI# 1194115386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194115386 |
Entity Type | Organization |
Organization Name | WITHAM MEMORIAL HOSPITAL |
Other Organization Name | WELLBROOKE OF CARMEL |
Practice Address |
12315 N Pennsylvania St Carmel IN 46032-6600 |
Mailing Address |
Po Box 221648 Louisville KY 40252-1648 |
Practice Telephone | 3175697200 |
Practice Fax Number | 3175697201 |
Mailing Telephone | 5024125847 |
Enumeration Date | 2015-01-27 |
Last Update Date | 2015-12-28 |
Authorized Official Name | RAYMOND INGHAM (PRESIDENT & CEO) |
Authorized Official Telephone | 7654858100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201294880A | 05 |
Other Name | Type Code |
---|---|
Wellbrooke of Carmel | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902298557 | Witham Memorial Hospital | Pharmacy | 2705 N Lebanon St Ste 100, Lebanon, IN 46052-8621 | 2015-02-19 |
1366843716 | Witham Memorial Hospital | Skilled Nursing Facility | 2402 South St, Lafayette, IN 47904-3063 | 2014-09-04 |
1942639695 | Witham Memorial Hospital | Skilled Nursing Facility | 2200 S Dixon Rd, Kokomo, IN 46902-6410 | 2013-11-04 |
1972939361 | Witham Memorial Hospital | Skilled Nursing Facility | 8405 Clearvista Pl, Indianapolis, IN 46256-3737 | 2013-09-18 |
1396171781 | Witham Memorial Hospital | Skilled Nursing Facility | 1635 N Arlington Ave, Indianapolis, IN 46218-5181 | 2013-09-18 |
1124360367 | Witham Memorial Hospital | Skilled Nursing Facility | 1 Silvercrest Dr, New Albany, IN 47150-7800 | 2013-03-26 |
1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
1366748386 | Witham Memorial Hospital | Skilled Nursing Facility | 269 Meadowview Dr, Peru, IN 46970-8996 | 2011-02-09 |
1306165915 | Witham Memorial Hospital | Skilled Nursing Facility | 814 S 6th St, Monticello, IN 47960-8199 | 2010-05-21 |
1205153269 | Witham Memorial Hospital | Skilled Nursing Facility | 1201 E Beardsley Ave, Elkhart, IN 46514-3574 | 2010-04-29 |
Street Address |
12315 N PENNSYLVANIA ST |
City | CARMEL |
State | IN |
Zip Code | 46032-6600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
Find all providers in zip 46032 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700256492 | Major Hospital | Skilled Nursing Facility | 616 Green House Way, Carmel, IN 46032 | 2015-10-07 |
1740662790 | Riverview Hospital | Skilled Nursing Facility | 1250 W 146th St, Carmel, IN 46074-9808 | 2015-06-26 |
1831589498 | Hancock Regional Hospital | Skilled Nursing Facility | 14751 Carey Rd, Carmel, IN 46033-9084 | 2015-02-03 |
1689016594 | Mayflower Communities Inc. | Skilled Nursing Facility | 1335 S Guilford Rd, Carmel, IN 46032-2810 | 2013-07-19 |
1831119049 | Northern California Congregational Retirement Homes, Inc | Skilled Nursing Facility | 8545 Carmel Valley Road, Carmel, CA 93923 | 2006-07-20 |
1881632800 | Hendricks County Hospital | Skilled Nursing Facility | 12999 N Pennsylvania St, Carmel, IN 46032-5477 | 2006-06-03 |
1134127970 | Carmel Care Center | Skilled Nursing Facility | 118 Medical Dr, Carmel, IN 46032-2923 | 2005-07-13 |
1265089601 | Prairie Landing Community Inc | Skilled Nursing Facility | 1335 S Guilford Rd, Carmel, IN 46032-2999 | 2019-08-21 |
1841740909 | Nicole Horten | Skilled Nursing Facility | 2460 Glebe St, Carmel, IN 46032-7154 | 2016-10-12 |
1275961567 | Lifespan Therapy | Skilled Nursing Facility | 118 Medical Dr, Carmel, IN 46032-2923 | 2013-10-23 |
Find all providers in CARMEL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.