KINDRED TRANSITIONAL CARE REHABILITATION COLONIAL (NPI# 1205113982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205113982 |
| Entity Type | Organization |
| Organization Name | KINDRED TRANSITIONAL CARE REHABILITATION COLONIAL |
| Practice Address |
1010 E Wausau Ave Wausau WI 54403-3101 |
| Practice Telephone | 7158422028 |
| Mailing Telephone | 7158422028 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | JAMIE L BORCHARDT (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 7155732884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5060-026 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE | 525405 | 01 |
| Street Address |
1010 E WAUSAU AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659538759 | Rita Marie Kerswill | Physical Therapist | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2008-05-18 |
| 1063911527 | Trevor Wolfe | Physical Therapist | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2018-02-09 |
| 1194243030 | Joshua A Stevenson | Physical Therapist | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2017-08-30 |
| 1528593399 | The Bay At Colonial Manor Health and Rehabilitation LLC | Skilled Nursing Facility | 1010 E Wausau Ave, Wausau, WI 54403 | 2017-04-28 |
| 1669907556 | Chyann Olson-weiler | Physical Therapy Assistant | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2017-04-27 |
| 1922452416 | Katherine Rasmussen | Occupational Therapist | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2016-04-20 |
| 1932564531 | Nicole Zygarlicke | Speech-Language Pathologist | 1010 E Wausau Ave, Wausau, WI 54403 | 2015-12-23 |
| 1558787036 | Colonial Manor Health Care LLC | Skilled Nursing Facility | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2014-03-09 |
| 1699102798 | Laura Mundschau | Speech-Language Pathologist | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2013-10-03 |
| 1609218478 | Tiffany Ayer | Physical Therapy Assistant | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2013-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| 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 |
|---|---|---|---|---|
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1891029112 | North Central Health Care Mountview | Skilled Nursing Facility | 2400 Marshall St, Wausau, WI 54403-6738 | 2009-09-21 |
| 1811163876 | Peoplefirst Rehab | Skilled Nursing Facility | 3914 Ashland Ave, Wausau, WI 54403-8144 | 2008-04-30 |
| 1053585323 | Peoplefirst Rehab | Skilled Nursing Facility | 7662 Evergreen Dr, Wausau, WI 54401-9751 | 2008-04-17 |
| 1972777324 | Peoplefirstrehab | Skilled Nursing Facility | 307 S 8th Ave, Wausau, WI 54401-4536 | 2008-04-16 |
| 1942474382 | Peoplefirst | Skilled Nursing Facility | 1203 Parcher St, Wausau, WI 54403-3094 | 2008-04-16 |
| 1528232964 | Peoplefirst | Skilled Nursing Facility | 3104 Begonia St, Wausau, WI 54401-7538 | 2008-04-16 |
| 1528068947 | Ehf Wausau Snf Op, LLC | Skilled Nursing Facility | 3107 Westhill Dr, Wausau, WI 54401-3774 | 2005-07-28 |
| 1922001247 | Marywood Convalescent Center | Skilled Nursing Facility | 1821 N 4th Ave, Wausau, WI 54401-1910 | 2005-05-31 |
| 1194243998 | Nsh Wausau LLC | Skilled Nursing Facility | 3107 Westhill Dr, Wausau, WI 54401-3774 | 2017-09-01 |
| Find all providers in WAUSAU | ||||
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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.