CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC. (NPI# 1023391877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023391877 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC. |
| Practice Address |
2650 65th Ave Osceola WI 54020 |
| Mailing Address |
1320 Wisconsin St Hudson WI 54016-1861 |
| Practice Telephone | 7153869303 |
| Mailing Telephone | 7153869303 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | MR. DAN C GOODIER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7153814210 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIAN COMMUNITY HOMES AND SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
2650 65TH AVE |
| City | OSCEOLA |
| State | WI |
| Zip Code | 54020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562628 | Kaylee Tolzman | Occupational Therapy Assistant | 2650 65th Ave, Osceola, WI 54020-4370 | 2019-08-09 |
| 1184193898 | Emily Warren | Occupational Therapy Assistant | 2650 65th Ave, Osceola, WI 54020-4370 | 2018-11-26 |
| 1154803013 | Brianna Brunclik | Physical Therapy Assistant | 2650 65th Ave, Osceola, WI 54020-4370 | 2018-09-06 |
| 1922589571 | Brant John Wesolek | Physical Therapy Assistant | 2650 65th Ave, Osceola, WI 54016 | 2018-08-22 |
| 1295251726 | Hannah Kunkel | Occupational Therapy Assistant | 2650 65th Ave, Osceola, WI 54020-4370 | 2017-08-16 |
| 1497283840 | Kasandra Marie Lassonde | Speech-Language Pathologist | 2650 65th Ave, Osceola, WI 54020-4370 | 2017-05-30 |
| 1992238927 | Jessica Lichman | Physical Therapy Assistant | 2650 65th Ave, Osceola, WI 54020 | 2017-04-06 |
| 1790233906 | Megan Michelle Jones | Speech-Language Pathologist | 2650 65th Ave, Osceola, WI 54020-4370 | 2016-09-16 |
| 1750625646 | Joan G Bauman | Physical Therapy Assistant | 2650 65th Ave, Osceola, WI 54020-4370 | 2012-11-16 |
| 1215271499 | Rosemary Kephart | Occupational Therapy Assistant | 2650 65th Ave, Osceola, WI 54020-4370 | 2012-11-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1780177840 | Joseph John Clymer | Social Worker | 405 Delmar Ave, Osceola, WI 54020 | 2018-06-12 |
| 1811401763 | Tiffany Morris | Acupuncturist | 207 N Cascade St, Osceola, WI 54020 | 2017-11-29 |
| 1255842779 | Olson Cc Wellness LLC | Chiropractor | 307 N Cascade Street, Osceola, WI 54020 | 2017-10-24 |
| 1396266599 | Danelle Mortenson | Counselor | 204 3rd Ave., Suite 100, Osceola, WI 54020 | 2017-06-28 |
| 1306200076 | Wendy Field | Registered Nurse | 2789 Cloutier Ct, Osceola, WI 54020 | 2016-04-08 |
| 1073768602 | Jamie J Mason | Marriage & Family Therapist | 204 3rd Ave W, Suite 100, Osceola, WI 54020 | 2008-11-24 |
| 1710137963 | Michelle Lynn Thoen | Counselor | 307 N Cascade St, Third Floor, Osceola, WI 54020 | 2008-09-24 |
| 1457533903 | School District of Osceola | Local Education Agency (LEA) | 331 Middle School Dr, Osceola, WI 54020 | 2007-11-27 |
| 1184841561 | Ladd Memorial Hospital | Pharmacy | 301 River St., Osceola, WI 54020 | 2007-04-19 |
| Find all providers in zip 54020 | ||||
| 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 |
|---|---|---|---|---|
| 1649595620 | Osceola Healthcare | Skilled Nursing Facility | 287 S Country Club Rd, Osceola, AR 72370-6047 | 2010-04-01 |
| 1548414626 | Creative Health Solutions | Skilled Nursing Facility | 54233 Landes Dr, Osceola, IN 46561-9017 | 2008-11-16 |
| 1073568119 | Ecumen | Skilled Nursing Facility | 301 River St, Osceola, WI 54020-3024 | 2006-05-24 |
| 1063484772 | Care Initiatives | Skilled Nursing Facility | 444 North West View Drive, Osceola, IA 50213-8267 | 2006-02-06 |
| 1851874804 | Chc Harris Healthcare, LLC | Skilled Nursing Facility | 287 S Country Club Rd, Osceola, AR 72370-6047 | 2018-09-14 |
| 1932536711 | Osnc, Inc | Skilled Nursing Facility | 287 S Country Club Rd, Osceola, AR 72370-6047 | 2013-10-11 |
| 1639471451 | Osceola Therapy and Living Center, Inc. | Skilled Nursing Facility | 287 S Country Club Rd, Osceola, AR 72370-6047 | 2010-11-30 |
| 1346466083 | Ecumen | Skilled Nursing Facility | 301 River Street, Osceola, WI 54020-3024 | 2007-04-18 |
| 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 |
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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.