WELLBROOKE OF CARMEL
NPI 1194115386
Skilled Nursing Facility in Carmel, IN

Active since January 27, 2015CLIA 15D2093910 · Waiver
12315 N PENNSYLVANIA ST, CARMEL, IN 46032(317) 569-7200(317) 569-7201 Get Directions Write a Review

NPPES record last updated: March 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellbrooke Of Carmel NPPES

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

WELLBROOKE OF CARMEL (NPI 1194115386) is a healthcare organization registered as a skilled nursing facility in Carmel, Indiana and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Kelly Braverman, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1194115386
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWITHAM MEMORIAL HOSPITAL
Location Address12315 N PENNSYLVANIA STCarmel, IN 46032-6600
Mailing AddressPo Box 221648Louisville, KY 40252-1648 · (502) 412-5847
Fax(317) 569-7201
Organization SubpartNo
Authorized OfficialKelly BravermanCeo, President · (765) 485-8100
Enumeration DateJanuary 27, 2015
Last NPPES UpdateMarch 26, 2022
NPPES CertifiedMarch 26, 2022
NPI 1194115386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
12315 N PENNSYLVANIA ST, Carmel, IN 46032

Other Names 1

Doing Business AsWellbrooke Of Carmel

Other Identifiers 1

Medicaid201294880IN

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 15D2093910

Bd Trustees Of Flavius J Witham Mem Hosp Dba Wellbrooke Of Carmel · Carmel, IN
Active · expires Apr 6, 2027
CLIA Number15D2093910
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorJamaal Webb
Laboratory Phone(317) 569-7200
Laboratory LocationBd Trustees Of Flavius J Witham Mem Hosp Dba Wellbrooke Of Carmel12315 N Pennsylvania St, Carmel, IN 46032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Witham Memorial Hospital's NPI number?

The NPI number for Witham Memorial Hospital is 1194115386. It was assigned to this organization in the NPPES registry on January 27, 2015. The provider is doing business as Wellbrooke Of Carmel.

Where is Witham Memorial Hospital located?

Witham Memorial Hospital is located at 12315 N Pennsylvania St, Carmel, IN 46032. The listed phone number is (317) 569-7200.

What is Witham Memorial Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Witham Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2093910) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Witham Memorial Hospital was last updated on March 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.