ALDEN ESTATES OF COUNTRYSIDE, INC. (NPI# 1285958298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285958298 |
| Entity Type | Organization |
| Organization Name | ALDEN ESTATES OF COUNTRYSIDE, INC. |
| Practice Address |
1130 Collins Rd Jefferson WI 53549-2939 |
| Practice Telephone | 7732866622 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |
| Authorized Official Name | MR. FLOYD A SCHLOSSBERG (PRESIDENT) |
| Authorized Official Telephone | 7732866622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | WI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677184 | Alden Estates of Countryside, Inc. | Clinic/Center | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2019-06-11 |
| Street Address |
1130 COLLINS RD |
| City | JEFFERSON |
| State | WI |
| Zip Code | 53549-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952314783 | Kelly Horton | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2006-08-14 |
| 1023677184 | Alden Estates of Countryside, Inc. | Clinic/Center | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2019-06-11 |
| 1114430725 | Jacqueline Nicholson | Physical Therapist | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2017-11-06 |
| 1700259561 | Kari Thoma | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2015-11-02 |
| 1518395706 | Rachel Johnston Puda | Physical Therapist | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2013-10-24 |
| 1871839209 | Kimberly Nicole Wittmann | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2012-12-12 |
| 1346485646 | Gayle Renz | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2008-12-16 |
| 1033322847 | Jane Evenson | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-05-08 |
| 1073649877 | Urogyn Services, LLC | Nurse Practitioner | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-02-26 |
| 1295885945 | Hildegard Kopp | Speech-Language Pathologist | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
| 1023428083 | Mary Beth Breunig | Occupational Therapist | 206 South Taft Avenue, Jefferson, WI 53549 | 2014-04-30 |
| 1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
| 1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
| 1497960645 | Family Resources Associates Inc | Counselor | 248 S Wisconsin Drive, Jefferson, WI 53549 | 2007-05-11 |
| 1386707529 | Todd G Goldbeck | Physical Therapist | 1515 Highway 26 South, Jefferson, WI 53549 | 2006-12-19 |
| 1982780813 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Physical Therapist | 222 S Wisconsin Drive, Suite 3, Jefferson, WI 53549 | 2006-10-31 |
| 1033202528 | Marie Ann Maxwell-jones | Occupational Therapist | N3995 Annex Road, Jefferson, WI 53549 | 2006-10-02 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| Find all providers in zip 53549 | ||||
| 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 |
|---|---|---|---|---|
| 1669711735 | Mark Bordeaux | Skilled Nursing Facility | Margate Health and Rehab 540 Waugh St, Jefferson, NC 28640-9034 | 2013-02-08 |
| 1962505313 | Margate Health and Rehab Center LLC | Skilled Nursing Facility | 540 Waugh Street, Jefferson, NC 28640-0130 | 2006-09-07 |
| 1487692380 | Jefferson Healthcare Center LLC | Skilled Nursing Facility | 2200 Jefferson Hwy, Jefferson, LA 70121-3822 | 2006-06-03 |
| 1477513059 | Centers for Long Term Care of Iowa | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2006-03-27 |
| 1952397739 | Pine Hill Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2005-09-27 |
| 1801881420 | Jefferson Health Center | Skilled Nursing Facility | 222 E Beech St, Jefferson, OH 44047-9490 | 2005-09-20 |
| 1346872413 | Opco Jefferson, Ia, LLC | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2020-02-06 |
| 1124495486 | Fannin County Hospital Authority | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2015-08-21 |
| 1598910291 | Jefferson I Enterprises, LLC | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2008-11-21 |
| 1639379902 | Magnolia Manor Management Inc | Skilled Nursing Facility | 510 E Bonham St, Jefferson, TX 75657-1506 | 2007-07-24 |
| Find all providers in JEFFERSON | ||||
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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.