COUNTY OF WALWORTH (NPI# 1699767905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699767905 |
| Entity Type | Organization |
| Organization Name | COUNTY OF WALWORTH |
| Other Organization Name | LAKELAND HEALTH CARE CENTER |
| Practice Address |
1922 County Rd Nn Elkhorn WI 53121-4335 |
| Mailing Address |
1922 County Road Nn Elkhorn WI 53121-4454 |
| Practice Telephone | 2627413600 |
| Practice Fax Number | 2627413682 |
| Mailing Telephone | 2627413600 |
| Mailing Fax Number | 2627413682 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2011-11-23 |
| Authorized Official Name | MRS. BERNADETTE M JANISZEWSKI (ADMINISTRATOR) |
| Authorized Official Telephone | 2627413600 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALWORTH COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2416 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20155000 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeland Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881931608 | County of Walworth | Social Worker | 1910 County Rd Nn, Elkhorn, WI 53121-4338 | 2013-01-14 |
| 1548348311 | County of Walworth | Clinic/Center | 1910 County Road Nn, Elkhorn, WI 53121 | 2006-11-01 |
| 1265944573 | County of Walworth | Clinic/Center | 1910 County Road Nn, Elkhorn, WI 53121 | 2017-10-26 |
| 1114447455 | County of Walworth | Public Health or Welfare | 1910 County Road Nn, Elkhorn, WI 53121 | 2017-06-27 |
| 1952618043 | County of Walworth | Dental Assistant | 1910 County Road Nn, Elkhorn, WI 53121 | 2010-09-10 |
| 1942532759 | County of Walworth | Community/Behavioral Health | W4051 County Rd Nn, Elkhorn, WI 53121 | 2010-02-03 |
| 1164619979 | County of Walworth | Public Health or Welfare | 1910 County Road Nn, Elkhorn, WI 53121 | 2007-09-26 |
| 1588733307 | County of Walworth | Clinic/Center | 1910 County Road Nn, Elkhorn, WI 53121 | 2006-11-07 |
| Street Address |
1922 COUNTY RD NN |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-4335 |
| 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 | 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 |
|---|---|---|---|---|
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1043404718 | Brookestone Meadows Inc | Skilled Nursing Facility | 600 Brookestone Meadows Plaza, Elkhorn, NE 68022-4401 | 2007-09-05 |
| 1255388856 | Consolidated Resources Health Care Fund I, L.p. | Skilled Nursing Facility | 20275 Hopper St, Elkhorn, NE 68022-2339 | 2006-05-28 |
| 1134111826 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 645 N. Church St, Elkhorn, WI 53121 | 2005-08-18 |
| 1134658719 | Vsl Elkhorn LLC | Skilled Nursing Facility | 600 Brookstone Meadows Plz, Elkhorn, NE 68022-4401 | 2017-06-07 |
| 1699210286 | Kayla Sarina Smithback | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1780129387 | Joshua Serba | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 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 |
| 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 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| Find all providers with the same taxonomy | ||||
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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.