THEDACARE MEDICAL CENTER - BERLIN, INC. (NPI# 1023154929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023154929 |
| Entity Type | Organization |
| Organization Name | THEDACARE MEDICAL CENTER - BERLIN, INC. |
| Other Organization Name | JULIETTE MANOR |
| Practice Address |
482 Oak St Berlin WI 54923-1204 |
| Practice Telephone | 9203613092 |
| Practice Fax Number | 9203613438 |
| Mailing Telephone | 9203613092 |
| Mailing Fax Number | 9203613438 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | BARBARA SCHMIDT (BUSINESS OFFICE COORDINATOR) |
| Authorized Official Telephone | 9203615844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1102 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20126400 | 05 |
| Other Name | Type Code |
|---|---|
| JULIETTE MANOR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243399 | Thedacare Medical Center - Berlin, Inc. | Home Health | 402 Preston Lane, Redgranite, WI 54970 | 2005-08-25 |
| 1326493602 | Thedacare Medical Center - Berlin, Inc. | General Acute Care Hospital | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2016-04-25 |
| 1992159289 | Thedacare Medical Center - Berlin, Inc. | General Acute Care Hospital | N2930 State Road 22, Wautoma, WI 54982-5267 | 2016-04-22 |
| 1275943367 | Thedacare Medical Center - Berlin, Inc. | Anesthesiology | 225 Memorial Dr, Berlin, WI 54923-1243 | 2014-04-29 |
| 1760413777 | Thedacare Medical Center - Berlin, Inc. | General Acute Care Hospital | 225 Memorial Drive, Berlin, WI 54923-1243 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THEDACARE MEDICAL CENTER - BERLIN, INC. | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Street Address |
482 OAK ST |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114191848 | Andrea Kae Fitzgerald | Physical Therapy Assistant | 482 Oak St, Berlin, WI 54923-1204 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| Find all providers in zip 54923 | ||||
| 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 |
|---|---|---|---|---|
| 1326027830 | St Vincent Rehabilitation & Nursing Center | Skilled Nursing Facility | 29 Providence Ave, Berlin, NH 03570-3130 | 2006-01-12 |
| 1578555140 | Virtua Health & Rehabilitation Center At Berlin, Inc. | Skilled Nursing Facility | 100 Long A Coming Ln, Berlin, NJ 08009-1964 | 2005-08-18 |
| 1972506954 | Somerset Care Inc. | Skilled Nursing Facility | 1404 Hay St, Berlin, PA 15530-1455 | 2005-05-24 |
| 1861947913 | Berlin Health Care LLC | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2016-08-18 |
| 1598103475 | Moriah Leigh Zybura | Skilled Nursing Facility | 1404 Hay St, Berlin, PA 15530-1455 | 2013-06-12 |
| 1578697876 | Bethany Suzanne D'antonio | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2007-03-16 |
| 1215023759 | Central Vermont Medical Center Inc | Skilled Nursing Facility | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2006-10-04 |
| 1457390775 | Mid-atlantic Long Term Care, LLC | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2006-06-05 |
| 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 | ||||
Please comment or provide details below to improve the information on THEDACARE MEDICAL CENTER - BERLIN, INC..
| 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.