WATERFORD PLACE HEALTH CAMPUS
NPI 1336225622
Skilled Nursing Facility in Kokomo, IN

Active since October 29, 2006CLIA 15D0975472 · Waiver
2/5
Overall Rating
800 SAINT JOSEPH DR, KOKOMO, IN 46901(765) 236-1239(765) 236-1241 Get Directions Write a Review

NPPES record last updated: March 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waterford Place Health Campus NPPES

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

WATERFORD PLACE HEALTH CAMPUS (NPI 1336225622) is a healthcare organization registered as a skilled nursing facility in Kokomo, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Kelly Braverman, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1336225622
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWITHAM MEMORIAL HOSPITAL
Location Address800 SAINT JOSEPH DRKokomo, IN 46901-1983
Mailing AddressPo Box 221648Louisville, KY 40252-1648 · (502) 412-5847
Fax(765) 236-1241
Organization SubpartNo
Authorized OfficialKelly BravermanCeo, President · (765) 485-8100
Enumeration DateOctober 29, 2006
Last NPPES UpdateMarch 26, 2022
NPPES CertifiedMarch 26, 2022
NPI 1336225622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IN · 060026671
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.
800 SAINT JOSEPH DR, Kokomo, IN 46901

Other Names 1

Doing Business AsWaterford Place Health Campus

Other Identifiers 1

Medicaid200300090IN

Accepted Insurance

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 15D0975472

Bd Trustees Of Flavius J Witham Mem Hosp D/B/A Waterford Place Health Campus · Kokomo, IN
Active · expires Jul 6, 2028
CLIA Number15D0975472
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorAdam Pickard
Laboratory Phone(765) 236-1239
Laboratory LocationBd Trustees Of Flavius J Witham Mem Hosp D/B/A Waterford Place Health Campus800 St Joseph Dr, Kokomo, IN 46901
CLIA data matches this NPI record on: Name Phone
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 Waterford Place Health Campus (CMS certification number 155678), from CMS Care Compare.

Waterford Place Health Campus

Nursing home · Kokomo, IN
2/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number155678
Certified Beds103 beds74 residents per day on average
Medicare & Medicaid Participant SinceSeptember 21, 2000
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.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48
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 2.31 · LPN 0.87 · RN 0.49
3.66 hrs per resident per day
Weekend Nurse Staffing
3.22 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
38.2%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Fines
1 totaling $7,442.50
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 6

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

Nurse Practitioner (Gerontology)
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Speech-Language Pathologist
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Occupational Therapist
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Clinical Nurse Specialist (Long-Term Care)
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Registered Nurse (General Practice)
800 SAINT JOSEPH DR
KOKOMO, IN 46901
Licensed Practical Nurse
800 SAINT JOSEPH DR
KOKOMO, IN 46901

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 1336225622. It was assigned to this organization in the NPPES registry on October 29, 2006. The provider is doing business as Waterford Place Health Campus.

Where is Witham Memorial Hospital located?

Witham Memorial Hospital is located at 800 Saint Joseph Dr, Kokomo, IN 46901. The listed phone number is (765) 236-1239.

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 15D0975472) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Witham Memorial Hospital a Medicare-certified nursing home?

Yes. Waterford Place Health Campus is a Medicare-certified nursing home with 103 certified beds.

What quality rating does Witham Memorial Hospital have?

CMS rates Waterford Place Health Campus 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Witham Memorial Hospital accept?

Health plans from UnitedHealthcare list Witham Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.