MORROW MEMORIAL HOME FOR THE AGED (NPI# 1053312348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053312348 |
| Entity Type | Organization |
| Organization Name | MORROW MEMORIAL HOME FOR THE AGED |
| Practice Address |
331 S Water St Sparta WI 54656-1726 |
| Practice Telephone | 6082693168 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL BONELLO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6082693168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 440 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20157100 | 05 |
| Street Address |
331 S WATER ST |
| City | SPARTA |
| State | WI |
| Zip Code | 54656-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632603 | Paul Andrew Ryan | Registered Nurse | 331 S Water St, Sparta, WI 54656-1726 | 2020-03-03 |
| 1821633173 | Leah Jenkins | Physical Therapy Assistant | 331 S Water St, Sparta, WI 54656-1726 | 2019-11-11 |
| 1356906846 | Jennifer Anklan | Physical Therapist | 331 S Water St, Sparta, WI 54656-1726 | 2019-05-09 |
| 1831640028 | Alicia Johnson | Occupational Therapy Assistant | 331 S Water St, Sparta, WI 54656-1726 | 2016-10-22 |
| 1588021281 | Tina Mack | Physical Therapy Assistant | 331 S Water St, Sparta, WI 54656-1726 | 2016-01-26 |
| 1306218185 | Myrna M Kasten | Physical Therapy Assistant | 331 S Water St, Sparta, WI 54656-1726 | 2015-10-20 |
| 1770961609 | Kaycie May Mccracken | Physical Therapist | 331 S Water St, Sparta, WI 54656-1726 | 2015-05-12 |
| 1033500731 | Morrow Home | Nursing Facility/Intermediate Care Facility | 331 S Water St, Sparta, WI 54656-1726 | 2015-02-17 |
| 1881964229 | Lois L Flock | Physical Therapy Assistant | 331 S Water St, Sparta, WI 54656-1726 | 2012-01-03 |
| 1427291731 | Jackie M Sands | Occupational Therapist | 331 S Water St, Sparta, WI 54656-1726 | 2009-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| Find all providers in zip 54656 | ||||
| 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 |
|---|---|---|---|---|
| 1467477323 | Nhc Healthcare-sparta LLC | Skilled Nursing Facility | 34 Gracey St, Sparta, TN 38583-2046 | 2006-07-13 |
| 1366485161 | Hancock County Health Care LLC | Skilled Nursing Facility | 60 Providence St, Sparta, GA 31087-1601 | 2006-06-13 |
| 1043252083 | Sparta Health Care LLC | Skilled Nursing Facility | 11744 Ga Highway 22, Sparta, GA 31087-1475 | 2006-06-12 |
| 1639122328 | Sunbridge Regency - North Carolina, Inc. | Skilled Nursing Facility | 179 Combs St, Sparta, NC 28675-8429 | 2006-05-17 |
| 1952306748 | County of Monroe | Skilled Nursing Facility | 14345 County Highway B, Sparta, WI 54656-4803 | 2005-06-17 |
| 1831549286 | Crm of Sparta LLC | Skilled Nursing Facility | 60 Providence St, Sparta, GA 31087-1601 | 2016-06-16 |
| 1942460241 | Kristen Brooke Shores | Skilled Nursing Facility | 34 Gracey St, Sparta, TN 38583-2046 | 2008-06-11 |
| 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.