GOLDEN YEARS NURSING HOME, INC. (NPI# 1407873193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407873193 |
| Entity Type | Organization |
| Organization Name | GOLDEN YEARS NURSING HOME, INC. |
| Practice Address |
270 Ridge Rd Walworth WI 53184-9526 |
| Practice Telephone | 2622756103 |
| Practice Fax Number | 2622756106 |
| Mailing Telephone | 2622756103 |
| Mailing Fax Number | 2622756106 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | MR. RICHARD T AUSTIN (ADMINISTRATOR) |
| Authorized Official Telephone | 2622756103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3103 | WI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| Street Address |
270 RIDGE RD |
| City | WALWORTH |
| State | WI |
| Zip Code | 53184-9526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396010468 | Catie Fern Pontel | Health Maintenance Organization | 270 Ridge Rd, Walworth, WI 53184-9526 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558835637 | Susan Jane Diderich | Registered Nurse | 211 Bonito St, Walworth, WI 53184 | 2019-01-11 |
| 1104007764 | Big Foot Union High School | Local Education Agency (LEA) | 401 Devils Ln, 99, Walworth, WI 53184 | 2007-11-23 |
| 1821149758 | Glenn Alan Wergin | Dentist | 100 N Main St, Walworth, WI 53184 | 2007-01-16 |
| 1891802344 | Janis A Lowell | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-23 |
| 1346357860 | Dale Gary Jacobson | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-23 |
| 1730198870 | Deana L Courier | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-07 |
| 1821236506 | Jennifer L Van Vleet | Registered Nurse | N2348 County Road F, Walworth, WI 53184-5662 | 2009-02-03 |
| 1972124980 | Lake Geneva Psychology, Inc. | Psychologist | 630 Kenosha St, Walworth, WI 53184-9505 | 2020-04-30 |
| 1619117488 | Victoria Ann Knull | Registered Nurse | 126 Howard St, Walworth, WI 53184-9509 | 2009-03-05 |
| 1881703676 | Mccullough Pharmacy Inc | Pharmacy | 547 Kenosha St, Walworth, WI 53184-9512 | 2006-08-29 |
| Find all providers in zip 53184 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GOLDEN YEARS NURSING HOME, INC..
| 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.