COUNTY OF GRANT - ORCHARD MANOR FDD (NPI# 1265429278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265429278 |
| Entity Type | Organization |
| Organization Name | COUNTY OF GRANT - ORCHARD MANOR FDD |
| Other Organization Name | ORCHARD MANOR NURSING HOME |
| Practice Address |
8800 Hwy 61 Lancaster WI 53813-9306 |
| Practice Telephone | 6087232113 |
| Practice Fax Number | 6087232210 |
| Mailing Telephone | 6087232113 |
| Mailing Fax Number | 6087232210 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONNA HAINES (ADMINISTRATOR) |
| Authorized Official Telephone | 6087232113 |
| Authorized Official Credential | N.H.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 3109 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21050300 | 05 | |
| DMERC | 0834840001 | 01 |
| Other Name | Type Code |
|---|---|
| Orchard Manor Nursing Home | Doing Business As Name - Organization |
| Street Address |
8800 HWY 61 |
| City | LANCASTER |
| State | WI |
| Zip Code | 53813-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052835 | Abby Mergen | Physical Therapy Assistant | 8800 Hwy 61, Lancaster, WI 53813-9306 | 2020-01-09 |
| 1215295761 | Grant Regional Health Center | General Acute Care Hospital | 8800 Hwy 61, Lancaster, WI 53813-9306 | 2012-05-02 |
| 1164680443 | Tricia Lynn Vogelsberg | Occupational Therapist | 8800 Hwy 61, Lancaster, WI 53813 | 2008-05-23 |
| 1013904085 | County of Grant | Skilled Nursing Facility | 8800 Hwy 61, Lancaster, WI 53813-9306 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015216 | Andrew Montgomery Simcox X | Psychologist | Unified Community Services, 200 West Alona Lane, Lancaster, WI 53813 | 2020-05-20 |
| 1720251804 | Debra M Drew | Licensed Practical Nurse | 4192 Hudson Hallow Road, Lancaster, WI 53813 | 2008-04-09 |
| 1184966400 | Ian Stormont | Urology | 507 S Monroe St, Lancaster, WI 53813 | 2013-03-25 |
| 1831466705 | Katherine C Reuter | Nurse Practitioner | 507 S Monroe St, Lancaster, WI 53813 | 2011-11-21 |
| 1457656316 | Sarah K. Lipska | Social Worker | 200 W Alona Ln, Lancaster, WI 53813 | 2011-01-24 |
| 1194056929 | Misty Landon | Licensed Practical Nurse | 438 N Harrison St, Lancaster, WI 53813-1021 | 2010-01-18 |
| 1760789648 | Sharla R Williams | Licensed Practical Nurse | 756 N Washington St Apt A, Lancaster, WI 53813-1071 | 2011-02-11 |
| 1790077501 | Sarah Mccartney | Registered Nurse | 933 W Elm St, Lancaster, WI 53813-1221 | 2011-05-11 |
| 1760806327 | Kathleen Schwantes | Licensed Practical Nurse | 436 W Pine St, Lancaster, WI 53813-1240 | 2014-02-18 |
| 1346665486 | Kathleen Schwantes | Registered Nurse | 436 W Pine St, Lancaster, WI 53813-1240 | 2014-02-26 |
| Find all providers in zip 53813 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312870 | Sharecka Grubbs | Intermediate Care Facility, Mentally Retarded | 621 Griffin St, Lancaster, TX 75146-2329 | 2019-05-21 |
| 1144400854 | Ck II, Inc. | Intermediate Care Facility, Mentally Retarded | 2236 W Avenue K9, Lancaster, CA 93536-1168 | 2007-11-09 |
| 1376723007 | Ck I, Inc. | Intermediate Care Facility, Mentally Retarded | 43111 Lemonwood Dr, Lancaster, CA 93536-4724 | 2007-11-09 |
| 1982737839 | Friendship Community | Intermediate Care Facility, Mentally Retarded | 2044 Pennwick Rd, Lancaster, PA 17601-5422 | 2007-03-13 |
| 1639202583 | Friendship Community | Intermediate Care Facility, Mentally Retarded | 2165-a New Holland Pike, Lancaster, PA 17601-5435 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790036739 | United Care Homes of Wisconsin LLC | Intermediate Care Facility, Mentally Retarded | 338 Municipal Dr, West Bend, WI 53095-3510 | 2012-10-01 |
| 1114158029 | Mississippi Valley Health Services Commission | Intermediate Care Facility, Mentally Retarded | 902 Garland St E, West Salem, WI 54669-1308 | 2009-07-28 |
| 1891931085 | The Arc of Columbia County | Intermediate Care Facility, Mentally Retarded | 711 E Cook St, Portage, WI 53901-2300 | 2008-12-18 |
| 1871714543 | St. Coletta of Wisconsin | Intermediate Care Facility, Mentally Retarded | W4955 Us Highway 18, Jefferson, WI 53549-9702 | 2007-05-01 |
| 1841418415 | Mccarthy Nursing Home | Intermediate Care Facility, Mentally Retarded | 124 S Monroe St, Stoughton, WI 53589-2012 | 2007-04-20 |
| 1689890204 | Hoplite, Inc. | Intermediate Care Facility, Mentally Retarded | 1719 Washington Ave, Racine, WI 53403-2019 | 2007-04-18 |
| 1235225616 | State of Wisconsin | Intermediate Care Facility, Mentally Retarded | 2820 East Park Avenue, Chippewa Falls, WI 54729-0340 | 2006-10-05 |
| 1376531061 | Wi Il Senior Housing | Intermediate Care Facility, Mentally Retarded | 1002 Eueka Street, Ripon, WI 54971 | 2005-10-07 |
| 1790771368 | Heyde Health System, Inc | Intermediate Care Facility, Mentally Retarded | 14135 150th Ave, Bloomer, WI 54724-4410 | 2005-09-20 |
| 1891781464 | Lakeview Health Center | Intermediate Care Facility, Mentally Retarded | 902 E Garland St, West Salem, WI 54669-1308 | 2005-09-20 |
| Find all providers with the same taxonomy | ||||
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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.