WELLBROOKE OF KOKOMO
NPI 1942639695
Skilled Nursing Facility in Kokomo, IN

Active since November 04, 2013CLIA 15D2070872 · Waiver
2200 S DIXON RD, KOKOMO, IN 46902(765) 455-4443(515) 875-4780 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Wellbrooke Of Kokomo NPPES

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

WELLBROOKE OF KOKOMO (NPI 1942639695) is a healthcare organization registered as a skilled nursing facility in Kokomo, Indiana and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through December 26, 2027 and lists Kelly Braverman, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1942639695
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWITHAM MEMORIAL HOSPITAL
Location Address2200 S DIXON RDKokomo, IN 46902-6410
Mailing AddressPo Box 221648Louisville, KY 40252-1648 · (502) 412-5847
Fax(515) 875-4780
Organization SubpartNo
Authorized OfficialKelly BravermanCeo, President · (765) 485-8100
Enumeration DateNovember 4, 2013
Last NPPES UpdateMay 6, 2022
NPPES CertifiedMay 6, 2022
NPI 1942639695 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.
2200 S DIXON RD, Kokomo, IN 46902

Other Names 1

Doing Business AsWellbrooke Of Kokomo

Other Identifiers 1

Medicaid201254360IN

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 15D2070872

Bd Trustees Of Flavius J Witham Mem Hosp Dba Wellbrooke Of Kokomo · Kokomo, IN
Active · expires Dec 26, 2027
CLIA Number15D2070872
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorDeborah Sherron
Laboratory Phone(765) 455-4443
Laboratory LocationBd Trustees Of Flavius J Witham Mem Hosp Dba Wellbrooke Of Kokomo2200 S Dixon Rd, Kokomo, IN 46902
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Registered Nurse (Gerontology)
2200 S DIXON RD
KOKOMO, IN 46902
Clinical Nurse Specialist (Long-Term Care)
2200 S DIXON RD
KOKOMO, IN 46902
Registered Nurse (Rehabilitation)
2200 S DIXON RD
KOKOMO, IN 46902
Skilled Nursing Facility
2200 S DIXON RD
KOKOMO, IN 46902
Clinical Nurse Specialist (Long-Term Care)
2200 S DIXON RD
KOKOMO, IN 46902
Nurse Practitioner (Family)
2200 S DIXON RD
KOKOMO, IN 46902
Clinical Nurse Specialist (Long-Term Care)
2200 S DIXON RD
KOKOMO, IN 46902

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 1942639695. It was assigned to this organization in the NPPES registry on November 4, 2013. The provider is doing business as Wellbrooke Of Kokomo.

Where is Witham Memorial Hospital located?

Witham Memorial Hospital is located at 2200 S Dixon Rd, Kokomo, IN 46902. The listed phone number is (765) 455-4443.

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 15D2070872) is associated with this NPI, valid through December 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 May 6, 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.