MULDER HEALTH CARE FACILITY, INC (NPI# 1447244108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447244108 |
Entity Type | Organization |
Organization Name | MULDER HEALTH CARE FACILITY, INC |
Other Organization Name | MULDER NURSING HOME |
Practice Address |
713 N Leonard St West Salem WI 54669-0850 |
Mailing Address |
713 N Leonard St Po Box 850 West Salem WI 54669-0850 |
Practice Telephone | 6087861600 |
Practice Fax Number | 6087860740 |
Mailing Telephone | 6087861600 |
Mailing Fax Number | 6087860740 |
Enumeration Date | 2005-09-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RONALD GENE GILBERTSON (NURSING HOME ADMINISTRATOR) |
Authorized Official Telephone | 6087861600 |
Authorized Official Credential | NURSING HOME ADM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 1031 | WI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 20137200 | 05 |
Other Name | Type Code |
---|---|
Mulder Nursing Home | Other Name - Individual/Organization |
Street Address |
713 N LEONARD ST |
City | WEST SALEM |
State | WI |
Zip Code | 54669-0850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073676078 | Karen J Bonifas | Physical Therapist | 713 N Leonard St, West Salem, WI 54669-1229 | 2006-12-19 |
1285796268 | Penny Peterson | Physical Therapy Assistant | 713 N Leonard St, West Salem, WI 54669-1229 | 2006-12-15 |
1013079029 | Jessica Seymour | Occupational Therapy Assistant | 713 N Leonard St, West Salem, WI 54669-1229 | 2006-12-15 |
1891857868 | Kathryn A Gerstenberger | Occupational Therapist | 713 N Leonard St, West Salem, WI 54669-1229 | 2006-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023643699 | County of La Crosse | Custodial Care Facility | 994 Garland St E, West Salem, WI 54669 | 2020-03-04 |
1235763053 | County of La Crosse | Custodial Care Facility | 848 Garland St E, West Salem, WI 54669 | 2020-03-02 |
1750915575 | County of La Crosse | Custodial Care Facility | 856 Garland St E, West Salem, WI 54669 | 2020-03-02 |
1265066096 | County of La Crosse | Custodial Care Facility | 998 Garland St E, West Salem, WI 54669 | 2020-03-02 |
1912470113 | Erin Gleason | Music Therapist | 806 N. Mill St., West Salem, WI 54669 | 2019-01-10 |
1124464854 | Andrea Jayne Hatleli | Contractor | 860 N. Mill St., Suite #2, West Salem, WI 54669 | 2013-05-21 |
1033424403 | Sara Smith | Dentist | 201 N Leonard St, Suite 101, West Salem, WI 54669 | 2010-08-10 |
1073839114 | Community Health Pharmacy LLC | Pharmacy | 880 N. Mill St., Suite 101, West Salem, WI 54669 | 2010-04-14 |
1255350542 | Kevin P Groth | Chiropractor | 1540 Heritage Blvd, Suite 203, West Salem, WI 54669 | 2006-07-18 |
1063024834 | Erin Shea Vanhandel | Speech-Language Pathologist | 713 Leonard St N, West Salem, WI 54669 | 2020-08-21 |
Find all providers in zip 54669 |
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 |
---|---|---|---|---|
1861043630 | Orion West Salem LLC | Skilled Nursing Facility | 713 Leonard St N, West Salem, WI 54669-1229 | 2019-09-24 |
1851522767 | Mississippi Valley Health Services Commission | Skilled Nursing Facility | 962 Garland St E, West Salem, WI 54669-1308 | 2009-07-28 |
1699983221 | La Crosse County | Skilled Nursing Facility | 962 Garland St E, West Salem, WI 54669-1308 | 2007-05-18 |
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 |
City | WEST SALEM |
Zip Code | 54669 |
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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.