CLEMENT MANOR, INC. (NPI# 1114923935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114923935 |
| Entity Type | Organization |
| Organization Name | CLEMENT MANOR, INC. |
| Practice Address |
3939 S 92nd St Greenfield WI 53228-2140 |
| Practice Telephone | 4143211800 |
| Practice Fax Number | 4145467357 |
| Mailing Telephone | 4143211800 |
| Mailing Fax Number | 4145467357 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENNIS FERGER (ADMINISTRATOR) |
| Authorized Official Telephone | 4145467330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2724 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20113300 | 05 |
| Street Address |
3939 S 92ND ST |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53228-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255993788 | Kenyata Farr | Physical Therapy Assistant | 3939 S 92nd St, Greenfield, WI 53228-2140 | 2019-07-04 |
| 1578045266 | Mikayla Bartkiewicz | Occupational Therapist | 3939 S 92nd St, Greenfield, WI 53228-2140 | 2018-08-30 |
| 1790266575 | Christine Lorraine Grossman | Physical Therapist | 3939 S 92nd St, Greenfield, WI 53228-2140 | 2018-08-28 |
| 1457893463 | Emily Goebert | Physical Therapist | 3939 S 92nd St, Greenfield, WI 53228-2140 | 2016-11-08 |
| 1518395045 | Kelli Geisler | Physical Therapist | 3939 S 92nd St, Greenfield, WI 53228-2140 | 2013-10-18 |
| 1578999843 | Dawn Marie Yankunas | Occupational Therapy Assistant | 3939 S 92nd St, Greenfield, WI 53228-2140 | 2013-09-18 |
| 1629418926 | Emily Maloney Passehl | Speech-Language Pathologist | 3939 S 92nd St, Greenfield, WI 53228-2140 | 2013-07-01 |
| 1023208428 | Jeannie Marie Stroh | Speech-Language Pathologist | 3939 S 92nd St, Greenfield, WI 53228-2140 | 2007-07-31 |
| 1013133040 | Debra Lynn Ahlborn | Physical Therapy Assistant | 3939 S 92nd St, Clement Manor, Greenfield, WI 53228-1455 | 2007-04-18 |
| 1629291687 | Danielle Elaine Kingdom | Occupational Therapist | 3939 S 92nd St, Greenfield, WI 53227-3448 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1710116561 | Kate Elizabeth Stolowski | Registered Nurse | 4616 S. 109th St, Greenfield, WI 53228 | 2009-07-14 |
| 1548486467 | Cynthia Denise Ireland | Physical Therapy Assistant | 3939 S 92 St, Greenfield, WI 53228 | 2007-04-18 |
| 1598800740 | Shorehaven Behavioral Health Inc | Counselor | 8405 W Forest Home Av, Suite 104, Milwaukee, WI 53228 | 2007-02-21 |
| 1194884114 | Thomas Stanley Omalley | Dentist | 8555 W Forest Home Ave, Greenfield, WI 53228 | 2006-12-06 |
| 1750468732 | Omalley Dentistry Sc | Dentist | 8555 W Forest Hm Ave, Suite 101, Greenfield, WI 53228 | 2006-11-01 |
| 1114002359 | Eileen Mary Langyel | Dentist | 3783 So 108th St, Greenfield, WI 53228 | 2006-10-26 |
| 1801998778 | William Carini Dds Sc | Dentist | 10707 W Beloit Road, Advanced Dental Treatment Center, Greenfield, WI 53228 | 2006-09-02 |
| 1497857304 | William J Carini | Dentist | 10707 W Beloit Rd, Advanced Dental Treatment Center, Green Field, WI 53228 | 2006-09-01 |
| 1609814367 | Cedar Creek Family Counseling, Inc | Counselor | 9910 W. Layton Ave, Suite 2, Greenfield, WI 53228 | 2006-06-03 |
| Find all providers in zip 53228 | ||||
| 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 |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1306044383 | Hancock Regional Hospital | Skilled Nursing Facility | 628 N Meridian Rd, Greenfield, IN 46140-2735 | 2007-07-11 |
| 1629199047 | Ssc Greenfield Operating Company LLC | Skilled Nursing Facility | 4500 W Loomis Rd, Greenfield, WI 53220-4819 | 2007-04-03 |
| 1902950397 | Greenfield Manor Inc | Skilled Nursing Facility | 615 Se Kent St, Greenfield, IA 50849-9454 | 2007-01-22 |
| 1588609218 | Cfm Buckley North LLC | Skilled Nursing Facility | 95 Laurel St, Greenfield, MA 01301-3106 | 2006-06-17 |
| 1164463956 | Tandem Health Care of Greenfield, Inc. | Skilled Nursing Facility | 850 Nellie St, Greenfield, OH 45123-1567 | 2006-06-10 |
| 1063468676 | Hendricks County Hospital | Skilled Nursing Facility | 745 N Swope St, Greenfield, IN 46140-1332 | 2006-05-25 |
| 1215980156 | Daviess County Hospital | Skilled Nursing Facility | 5430 W Us Highway 40, Greenfield, IN 46140-8803 | 2006-05-19 |
| 1336114404 | Hearth & Care of Greenfield LLC | Skilled Nursing Facility | 238 S Washington St, Greenfield, OH 45123-1467 | 2006-02-21 |
| 1922097922 | Somerset Longtermcare | Skilled Nursing Facility | 359 High St, Greenfield, MA 01301-2617 | 2005-10-21 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53228 |
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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.