MR. WAYNE BACKMAN (NPI# 1437561669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437561669 |
| Entity Type | Individual |
| Full Name | MR. WAYNE BACKMAN |
| Credential | 2128-19 |
| Practice Address |
400 N Morris St Stoughton WI 53589-1857 |
| Practice Telephone | 6088735651 |
| Mailing Telephone | 6088735651 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2128-19 | WI | Nursing & Custodial Care Facilities |
| Street Address |
400 N MORRIS ST |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428742 | Skaalen Nursing and Rehabiliation Center, Inc. | Assisted Living Facility | 400 N Morris St, Stoughton, WI 53589-1857 | 2005-09-21 |
| 1346882891 | Chase Tuescher | Physical Therapy Assistant | 400 N Morris St, Stoughton, WI 53589-1857 | 2019-10-16 |
| 1679045645 | Renee Annette Taylor | Dietetic Technician, Registered | 400 N Morris St, Stoughton, WI 53589-1857 | 2019-01-01 |
| 1730658741 | Benjamin Meinking | Physical Therapist | 400 N Morris St, Stoughton, WI 53589-1857 | 2018-11-19 |
| 1043798341 | Tia Collins | Physical Therapist | 400 N Morris St, Stoughton, WI 53589-1857 | 2018-07-30 |
| 1376085175 | Cindy Lee Ehr | Occupational Therapy Assistant | 400 N Morris St, Stoughton, WI 53589-1857 | 2016-11-09 |
| 1962887539 | Gail Bliss | Occupational Therapy Assistant | 400 N Morris St, Rehab Dept, Stoughton, WI 53589-1857 | 2015-07-24 |
| 1417339250 | Cathy J (wilson) Pettibone | Speech-Language Pathologist | 400 N Morris St, Stoughton, WI 53589-1857 | 2015-06-28 |
| 1013398288 | Denise Rae Perry | Physical Therapy Assistant | 400 N Morris St, Stoughton, WI 53589-1857 | 2015-06-14 |
| 1518377738 | Rebecca Reitz | Occupational Therapist | 400 N Morris St, Stoughton, WI 53589-1857 | 2014-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
| 1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
| 1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
| 1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| Find all providers in zip 53589 | ||||
| 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 |
|---|---|---|---|---|
| 1508853177 | Copley Health Care Partnership | Skilled Nursing Facility | 380 Sumner St, Stoughton, MA 02072 | 2005-09-29 |
| 1972063782 | Bear Mt Stoughton LLC | Skilled Nursing Facility | 1044 Park St, Stoughton, MA 02072-3762 | 2019-03-20 |
| 1972091643 | Complete Care At Nazareth LLC | Skilled Nursing Facility | 814 Jackson St, Stoughton, WI 53589-1520 | 2018-04-27 |
| 1861994329 | New England Sinai Hospital, A Steward Family Hospital, Inc. | Skilled Nursing Facility | 150 York St, Stoughton, MA 02072-1829 | 2018-03-01 |
| 1275996217 | Nsl Blue Hills LLC | Skilled Nursing Facility | 1044 Park St, Stoughton, MA 02072-3762 | 2016-03-29 |
| 1508284076 | Ch-blue Hills LLC | Skilled Nursing Facility | 1044 Park St, Stoughton, MA 02072-3762 | 2014-04-02 |
| 1457420697 | Copley At Stoughton | Skilled Nursing Facility | 380 Sumner St, Stoughton, MA 02072-3430 | 2006-11-06 |
| 1215916366 | Stoughton Nursing LLC | Skilled Nursing Facility | 909 Sumner St, Stoughton, MA 02072-3396 | 2006-01-16 |
| 1912991092 | Nazareth Facilities, LLC | Skilled Nursing Facility | 814 Jackson St, Stoughton, WI 53589-1520 | 2005-09-06 |
| 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 MR. WAYNE BACKMAN.
| 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.