PETERSEN HEALTH CARE OF WI, INC. (NPI# 1659373348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659373348 |
| Entity Type | Organization |
| Organization Name | PETERSEN HEALTH CARE OF WI, INC. |
| Other Organization Name | FRIENDLY VILLAGE |
| Practice Address |
900 Boyce Dr Rhinelander WI 54501-3835 |
| Mailing Address |
900 Boyce Dr P.o. Box 857 Rhinelander WI 54501-3835 |
| Practice Telephone | 7153656900 |
| Practice Fax Number | 7153656665 |
| Mailing Telephone | 7153656900 |
| Mailing Fax Number | 7153656665 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANDREA ALLARD (NURSING HOME ADMINISTRATOR) |
| Authorized Official Telephone | 7153656449 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2751 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20114800 | 05 |
| Other Name | Type Code |
|---|---|
| Friendly Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700098 | Petersen Health Care of Wi, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 902 Boyce Dr, Rhinelander, WI 54501-3835 | 2005-09-15 |
| 1720080419 | Petersen Health Care of Wi, Inc. | Skilled Nursing Facility | 903 Boyce Dr, Rhinelander, WI 54501-3836 | 2005-08-11 |
| Street Address |
900 BOYCE DR |
| City | RHINELANDER |
| State | WI |
| Zip Code | 54501-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068308 | Shirley Stampfl | Occupational Therapy Assistant | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2020-03-20 |
| 1609428523 | Amy Kathleen Schleeter | Occupational Therapy Assistant | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2019-07-11 |
| 1831678523 | Shawn Robert Gavrilescu | Physical Medicine & Rehabilitation | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2018-08-13 |
| 1699294660 | Jacob P Ramsby | Physical Therapist | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2017-09-11 |
| 1538691621 | Friendly Village Nursing and Rehab, LLC | Skilled Nursing Facility | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2017-03-29 |
| 1962942805 | Kelcy Lind | Occupational Therapy Assistant | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2017-02-26 |
| 1376902429 | Friendly Village Management, LLC | Skilled Nursing Facility | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2016-02-17 |
| 1780028852 | Delia E Abano | Physical Therapist | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2013-04-19 |
| 1104101880 | Sarah Banie | Speech-Language Pathologist | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2011-10-13 |
| 1386811099 | Angela Roberts | Occupational Therapy Assistant | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513361 | Nathan Wigington | Dentist | 803 Lincoln Street, Rhinelander, WI 54501 | 2018-06-29 |
| 1659865582 | Wendy Jahsmann | Physical Therapy Assistant | 1970 Navajo Street, Rhinelander, WI 54501 | 2018-06-14 |
| 1699262055 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 2260 North Shore Drive, Rhinelander, WI 54501 | 2018-04-20 |
| 1467967489 | Harmony Counseling Services Dba Transitions Center | Counselor | 22 N Pelham Str., Rhinelander, WI 54501 | 2017-12-13 |
| 1316392046 | Horace Donn De Yampert | Physical Therapist | 528 Shepard Street, Rhinelander, WI 54501 | 2016-05-02 |
| 1588019582 | Oksana Smith | Physical Therapy Assistant | 1318 Eagle St, Rhinelander, WI 54501 | 2016-04-27 |
| 1639535115 | Rita Jean Semmerling | Counselor | 22 N. Pelham St., Rhinelander, WI 54501 | 2016-01-13 |
| 1891151809 | Jolie Dirrigle | Social Worker | 1020 Kabel Avenue, Rhinelander, WI 54501 | 2016-01-06 |
| 1861758260 | The Country Seed Inc. | Specialist | 210 E. Anderson Street, Rhinelander, WI 54501 | 2012-04-10 |
| 1952605446 | Adam Carlson | Physical Therapist | 7543 Woodboro Heights Rd, Rhinelander, WI 54501 | 2010-12-27 |
| Find all providers in zip 54501 | ||||
| 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 |
|---|---|---|---|---|
| 1720080419 | Petersen Health Care of Wi, Inc. | Skilled Nursing Facility | 903 Boyce Dr, Rhinelander, WI 54501-3836 | 2005-08-11 |
| 1538691621 | Friendly Village Nursing and Rehab, LLC | Skilled Nursing Facility | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2017-03-29 |
| 1376902429 | Friendly Village Management, LLC | Skilled Nursing Facility | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2016-02-17 |
| 1407164312 | Rg-rhinelander, Inc. | Skilled Nursing Facility | 1970 Navajo St, Rhinelander, WI 54501-8890 | 2010-09-14 |
| 1932157526 | Rhinelander Healthcare Operator 150 LLC | Skilled Nursing Facility | 900 Boyce Dr, Rhinelander, WI 54501-3835 | 2006-05-05 |
| 1881642460 | Rhinelander Healthcare Operator 100 LLC | Skilled Nursing Facility | 903 Boyce Dr, Rhinelander, WI 54501-3836 | 2006-05-05 |
| 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 | RHINELANDER |
| Zip Code | 54501 |
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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.