GGNSC FORT ATKINSON LLC (NPI# 1306896980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306896980 |
Entity Type | Organization |
Organization Name | GGNSC FORT ATKINSON LLC |
Other Organization Name | GOLDEN LIVINGCENTER - FORT ATKINSON |
Practice Address |
430 Wilcox St Fort Atkinson WI 53538-1968 |
Practice Telephone | 9205635533 |
Practice Fax Number | 9205635965 |
Mailing Telephone | 9205635533 |
Mailing Fax Number | 9205635965 |
Enumeration Date | 2006-05-12 |
Last Update Date | 2014-07-17 |
Authorized Official Name | HOLLY A. RASMUSSEN-JONES (SECRETARY) |
Authorized Official Telephone | 4792014835 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 2683 | WI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 20196700 | 05 | |
WI | SECURITY HEALTH PLAN | 525262 | 01 |
Other Name | Type Code |
---|---|
Golden LivingCenter - Fort Atkinson | Doing Business As Name - Organization |
Street Address |
430 WILCOX ST |
City | FORT ATKINSON |
State | WI |
Zip Code | 53538-1968 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669084927 | Anna M Cummings | Physical Therapist | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2020-08-18 |
1770106197 | Emma Allison | Speech-Language Pathologist | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2020-05-20 |
1760033898 | Bedrock Hcs At Atkinson LLC | Skilled Nursing Facility | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2019-09-20 |
1457860652 | Leah Klein | Physical Therapist | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2017-09-20 |
1386161701 | Kimberly Metcalf | Physical Therapy Assistant | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2017-08-25 |
1992221840 | Healogics Specialty Physicians of Wisconsin, LLC | Preventive Medicine | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2017-08-22 |
1427500636 | Dycora Transitional Health - Fort Atkinson LLC | Skilled Nursing Facility | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2016-11-04 |
1992190698 | Anne Hepperla | Physical Therapist | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2015-03-31 |
1962679712 | Deborah Ann Rode | Occupational Therapy Assistant | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2008-05-12 |
1346417037 | Frances Jane Gess | Physical Therapy Assistant | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2008-05-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
Find all providers in zip 53538 |
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 |
---|---|---|---|---|
1508164799 | Alden At Fort Healthcare, LLC | Skilled Nursing Facility | 611 Sherman Avenue East, Fort Atkinson, WI 53538-1960 | 2011-03-11 |
1952575375 | Peoplefirst Rehab | Skilled Nursing Facility | 626 Lexington Blvd, Fort Atkinson, WI 53538-1397 | 2008-04-16 |
1760033898 | Bedrock Hcs At Atkinson LLC | Skilled Nursing Facility | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2019-09-20 |
1427500636 | Dycora Transitional Health - Fort Atkinson LLC | Skilled Nursing Facility | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2016-11-04 |
1447304340 | Fort Healthcare, Inc. | Skilled Nursing Facility | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
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City | FORT ATKINSON |
Zip Code | 53538 |
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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.