APPLETON NURSING AND REHAB LLC (NPI# 1275130403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275130403 |
| Entity Type | Organization |
| Organization Name | APPLETON NURSING AND REHAB LLC |
| Practice Address |
1335 S Oneida St Appleton WI 54915-1351 |
| Mailing Address |
8140 Mccormick Blvd Ste 131 Skokie IL 60076-2920 |
| Practice Telephone | 9207316646 |
| Mailing Telephone | 8479427575 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | ROSTISLAV PUKSHANSKY (CEO) |
| Authorized Official Telephone | 8478427575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Manor Care of Appleton | Former Legal Business Name - Organization |
| Meadowbrook at Appleton | Doing Business As Name - Organization |
| Street Address |
1335 S ONEIDA ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679529077 | Manorcare Health Services LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2006-05-26 |
| 1871120667 | Jenna L Byom | Nurse Practitioner | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-03-24 |
| 1710517529 | Edenbrook On Oneida Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-01-21 |
| 1619317468 | Susan Deborah Konkle | Physical Therapist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2013-06-26 |
| 1710326913 | Michelle B Stache | Physical Therapy Assistant | 1335 S Oneida St, Appleton, WI 54915-1351 | 2013-06-20 |
| 1578847687 | Erin Mackey | Speech-Language Pathologist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2011-10-07 |
| 1497061964 | Maribeth Sale Araneta | Physical Therapist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2010-08-23 |
| 1194968453 | Kim Franda | Speech-Language Pathologist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2009-04-15 |
| 1568620490 | Lynn Marie Sosnosky | Occupational Therapist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2008-05-28 |
| 1346407004 | Jennifer Lee Rau | Occupational Therapy Assistant | 1335 S Oneida St, Appleton, WI 54915-1351 | 2008-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
|---|---|---|---|---|
| 1376903161 | 725 Knapp St Operating Company, LLC | Skilled Nursing Facility | 1726 N Ballard Rd, Appleton, WI 54911-2444 | 2016-03-07 |
| 1770530990 | Franciscan Care and Rehabilitation Center, Inc. | Skilled Nursing Facility | 2915 N Meade St, Appleton, WI 54911-1509 | 2006-05-31 |
| 1679529077 | Manorcare Health Services LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2006-05-26 |
| 1639167430 | County of Outagamie | Skilled Nursing Facility | 3300 W Brewster St, Appleton, WI 54914 | 2005-10-06 |
| 1386642874 | Tdr, Inc. | Skilled Nursing Facility | 325 E Florida Ave, Appleton, WI 54911-1325 | 2005-07-08 |
| 1194355909 | Edenbrook On Meade Nursing and Rehab LLC | Skilled Nursing Facility | 2915 N Meade St, Appleton, WI 54911-1509 | 2020-01-21 |
| 1710517529 | Edenbrook On Oneida Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-01-21 |
| 1851749576 | Rennes Rehabilitation | Skilled Nursing Facility | 325 E Florida Ave, Appleton, WI 54911-1325 | 2016-06-03 |
| 1639535099 | 601 Briarcliff Drive Operating Company, LLC | Skilled Nursing Facility | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2016-01-14 |
| 1285012872 | Fox Valley Transitional Care LLC | Skilled Nursing Facility | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2015-05-14 |
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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.