BROOKVILLE HEALTHCARE CENTER
NPI 1386735421
Skilled Nursing Facility in Brookville, IN

Active since September 27, 2006CLIA 15D0359095 · Waiver
5/5
Overall Rating
11049 STATE ROAD 101, BROOKVILLE, IN 47012(765) 647-2527 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brookville Healthcare Center NPPES

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

BROOKVILLE HEALTHCARE CENTER (NPI 1386735421) is a healthcare organization registered as a skilled nursing facility in Brookville, Indiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kelly Braverman, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386735421
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWITHAM MEMORIAL HOSPITAL
Location Address11049 STATE ROAD 101Brookville, IN 47012-8816
Mailing Address9480 Priority Way West DrIndianapolis, IN 46240-1470 · (317) 818-1240 · Fax (317) 818-1022
Organization SubpartNo
Authorized OfficialKelly BravermanPresident, Ceo · (765) 485-8100
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJune 24, 2022
NPPES CertifiedJune 24, 2022
NPI 1386735421 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 · 06-000550-1
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.

11049 STATE ROAD 101, Brookville, IN 47012

Other Names 1

Doing Business AsBrookville Healthcare Center

Other Identifiers 1

Medicaid100286110IN

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 15D0359095

Brookville Healthcare Center · Brookville, IN
Active · expires Aug 31, 2026
CLIA Number15D0359095
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBeverly Sue Tackitt
Laboratory Phone(765) 647-2527
Laboratory LocationBrookville Healthcare Center11049 Sr 101, Brookville, IN 47012
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 Brookville Healthcare Center (CMS certification number 155480), from CMS Care Compare.

Brookville Healthcare Center

Nursing home · Brookville, IN
5/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number155480
Certified Beds100 beds41 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
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.
23.33
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 2.51 · LPN 0.99 · RN 0.74
4.25 hrs per resident per day
Weekend Nurse Staffing
3.23 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.
25%
Registered Nurse Turnover
0%
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
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 1386735421. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider is doing business as Brookville Healthcare Center.

Where is Witham Memorial Hospital located?

Witham Memorial Hospital is located at 11049 State Road 101, Brookville, IN 47012. The listed phone number is (765) 647-2527.

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 15D0359095) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Witham Memorial Hospital a Medicare-certified nursing home?

Yes. Brookville Healthcare Center is a Medicare-certified nursing home with 100 certified beds.

What quality rating does Witham Memorial Hospital have?

CMS rates Brookville Healthcare Center 5 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 June 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.