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PROVIDENCE HEALTH CARE CENTER
NPI 1114986924
Nursing Facility/Intermediate Care Facility in St. Mary Woods, IN

Active since March 21, 2006CLIA 15D1012090 · Waiver
3/5
Overall Rating
1 SISTERS OF PROVIDENCE, PROVIDENCE HEALTH CARE CENTER, ST. MARY WOODS, IN 47876(812) 535-1051(812) 535-1005 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Health Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH CARE CENTER (NPI 1114986924) is a healthcare organization registered as a nursing facility/intermediate care facility in St. Mary Woods, Indiana and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Dennis Weatherford, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1114986924
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NamePUTNAM COUNTY HOSPITAL
Location Address1 SISTERS OF PROVIDENCE, PROVIDENCE HEALTH CARE CENTERSt. Mary Woods, IN 47876-1095
Mailing AddressP.o. Box 97St. Mary Of The Woods, IN 47876-1095 · (812) 535-1051 · Fax (812) 535-1005
Phone(812) 535-1051
Fax(812) 535-1005
Organization SubpartNo
Authorized OfficialDennis WeatherfordPresident & Ceo · (765) 655-2620
Enumeration DateMarch 21, 2006
Last NPPES UpdateNovember 20, 2014
✔ NPI 1114986924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1 SISTERS OF PROVIDENCE, St. Mary Woods, IN 47876
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Other Names 1

Doing Business AsProvidence Health Care Center

Other Identifiers 2

Other155802IN · Ccn
Medicaid200429840AIN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1012090

Providence Health Care Center · St Mary Of The Woods, IN
Active · expires Apr 30, 2027
CLIA Number15D1012090
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorWhitney True
Laboratory Phone(812) 535-1068
Laboratory LocationProvidence Health Care Center1 Sisters Of Providence, St Mary Of The Woods, IN 47876
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Providence Health Care Center (CMS certification number 155802), from CMS Care Compare.

Providence Health Care Center

Nursing home · St Mary Of The Woods, IN
3/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number155802
Certified Beds70 beds59 residents per day on average
Medicare & Medicaid Participant SinceOctober 17, 2012
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
40.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.28 · LPN 0.54 · RN 1.04
4.86 hrs per resident per day
Weekend Nurse Staffing
4.35 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
47.9%
Registered Nurse Turnover
60%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
5
Infection-Control Citations
0
Fines
1 totaling $650.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA MAE LANDIS COTA
Occupational Therapy Assistant
1 SISTERS OF PROVIDENCE
SAINT MARY OF THE WOODS, IN 47876
Vigo County (812) 535-1095
INDIANA EMERGENCY PHYSICIANS, LLP
Emergency Medicine
1 SISTERS OF PROVIDENCE
SAINT MARY OF THE WOODS, IN 47876
Vigo County (812) 535-1051
MRS. HALLIE LEEANN CHASTAIN MS, CF-SLP
Speech-Language Pathologist
1 SISTERS OF PROVIDENCE
SAINT MARY OF THE WOODS, IN 47876
Vigo County (812) 535-4001
MRS. LESA KAY TRELA OTR
Occupational Therapist
1 SISTERS OF PROVIDENCE, OCCUPATIONAL AND SPEECH THERAPY DEPT
SAINT MARY OF THE WOODS, IN 47876
Vigo County (812) 535-1095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Putnam County Hospital's NPI number?

The NPI number for Putnam County Hospital is 1114986924. It was assigned to this organization in the NPPES registry on March 21, 2006. The provider is doing business as Providence Health Care Center.

Where is Putnam County Hospital located?

Putnam County Hospital is located at 1 Sisters Of Providence Providence Health Care Center, St. Mary Woods, IN 47876. The listed phone number is (812) 535-1051.

What is Putnam County Hospital's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Putnam County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1012090) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Putnam County Hospital a Medicare-certified nursing home?

Yes. Providence Health Care Center is a Medicare-certified nursing home with 70 certified beds.

What quality rating does Putnam County Hospital have?

CMS rates Providence Health Care Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Putnam County Hospital was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.