COUNTY OF PORTAGE (NPI# 1003819491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003819491 |
| Entity Type | Organization |
| Organization Name | COUNTY OF PORTAGE |
| Other Organization Name | PORTAGE COUNTY HEALTH CARE CENTER |
| Practice Address |
825 Whiting Ave Stevens Point WI 54481-5246 |
| Practice Telephone | 7153461375 |
| Practice Fax Number | 7153461628 |
| Mailing Telephone | 7153461375 |
| Mailing Fax Number | 7153461628 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | MARCIA MCDONALD (ADMINISTRATOR) |
| Authorized Official Telephone | 7153461497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2394 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20134800 | 05 |
| Other Name | Type Code |
|---|---|
| Portage County Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1154438885 | County of Portage | Ambulance | 1516 Church St, Stevens Point, WI 54481-3501 | 2006-08-25 |
| 1386720043 | County of Portage | Clinic/Center | 817 Whiting Ave, Stevens Point, WI 54481 | 2006-10-27 |
| Street Address |
825 WHITING AVE |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126856 | Jon Philip Lim | Physical Therapist | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2019-10-22 |
| 1396387619 | Robert Slater | Occupational Therapy Assistant | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2019-10-09 |
| 1669934956 | Karissa Vance | Occupational Therapy Assistant | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2019-04-04 |
| 1710445606 | Jinal Pravinkumar Patel | Physical Therapist | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2019-03-09 |
| 1164907358 | Rachel Lewandowski | Occupational Therapy Assistant | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2018-10-03 |
| 1508353285 | Pattie Anne Dziedzic | Occupational Therapy Assistant | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2018-04-18 |
| 1477070183 | Leng Vang | Physical Therapy Assistant | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2017-08-23 |
| 1700306487 | Lexi Anne Fortin | Physical Therapy Assistant | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2017-06-22 |
| 1972032191 | Elizabeth R Busch | Occupational Therapist | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2017-06-09 |
| 1336678309 | Justin Michael Pilger | Physical Therapist | 825 Whiting Ave, Stevens Point, WI 54481-5246 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304220 | Stevens Point Care Center LLC | Skilled Nursing Facility | 1800 Sherman Ave, Stevens Point, WI 54481-7215 | 2005-08-23 |
| 1245873199 | Nsh Stevens Point LLC | Skilled Nursing Facility | 1800 Sherman Ave, Stevens Point, WI 54481-7215 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.