WISCONSIN ILLINOIS SENIOR HOUSING INC. (NPI# 1427408202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427408202 |
| Entity Type | Organization |
| Organization Name | WISCONSIN ILLINOIS SENIOR HOUSING INC. |
| Other Organization Name | WISH GROUP PRACTICE |
| Practice Address |
640 N Broad St Elkhorn WI 53121-1124 |
| Practice Telephone | 2627232700 |
| Practice Fax Number | 2627232704 |
| Mailing Telephone | 2627232700 |
| Mailing Fax Number | 2627232704 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | MRS. STEPHANIE L SHERMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3039800611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Wish Group Practice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780673954 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 471 W Terra Cotta Ave, Crystal Lake, IL 60014-3434 | 2005-10-19 |
| 1649264623 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 425 Summit St, Wild Rose, WI 54984-6804 | 2005-09-07 |
| 1134111826 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 645 N. Church St, Elkhorn, WI 53121 | 2005-08-18 |
| 1336141357 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 211 S Curtis St, Lake Geneva, WI 53147-2052 | 2005-08-10 |
| 1659371938 | Wisconsin Illinois Senior Housing Inc. | Assisted Living Facility | 407 N 8th St, Mount Horeb, WI 53572-1872 | 2005-07-28 |
| 1700884020 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 251 Forest Ln, Montello, WI 53949-9380 | 2005-07-11 |
| 1265825483 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 510 1st St, Spooner, WI 54801-1241 | 2015-03-12 |
| 1063756286 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2012-11-15 |
| 1043463961 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 3271 North St, East Troy, WI 53120-1147 | 2008-10-23 |
| Street Address |
640 N BROAD ST |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651212 | Transitions At Home, Inc. | Home Health | 640 N Broad St, Elkhorn, WI 53121-1104 | 2005-07-07 |
| 1144838871 | Seve Strook | Physical Therapist | 640 N Broad St, Elkhorn, WI 53121-1104 | 2020-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063854768 | Jennifer M Simpson | Nurse Practitioner | 717 N 190th Plz Ste 3200, Elkhorn, NE 68022-3913 | 2013-07-23 |
| 1861715468 | Mark Oliver Pease | Nurse Practitioner | W4051 Hwy Nn, Elkhorn, WI 53121-4338 | 2010-03-10 |
| 1194918698 | Joann Kiemen | Nurse Practitioner | 100 S. Washington Street, Elkhorn, WI 53121-2110 | 2007-08-20 |
| 1265087415 | Anna K Holcomb | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022 | 2019-08-05 |
| 1649744558 | Megan Burg | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2019-01-14 |
| 1538631296 | Susan L Guthart | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2018-12-19 |
| 1992291728 | Brittni L Gilling | Nurse Practitioner | 201 E Morrissey Dr, Elkhorn, WI 53121 | 2018-07-04 |
| 1205380045 | Kelsey M. Claar | Nurse Practitioner | 717 N 190th Plz Ste 3200, Elkhorn, NE 68022-3913 | 2016-08-10 |
| 1043676356 | Lynsea Monien | Nurse Practitioner | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2016-01-04 |
| 1851789390 | Jennifer Lynn Auxier | Nurse Practitioner | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2015-01-07 |
| Find all providers in ELKHORN | ||||
Please comment or provide details below to improve the information on WISCONSIN ILLINOIS SENIOR HOUSING 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.