MARQUARDT MEMORIAL MANOR, INC. (NPI# 1821091323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821091323 |
| Entity Type | Organization |
| Organization Name | MARQUARDT MEMORIAL MANOR, INC. |
| Other Organization Name | MARQUARDT HEALTH AND REHAB CENTER |
| Practice Address |
1020 Hill St Watertown WI 53098-3016 |
| Mailing Address |
1045 Hill St Watertown WI 53098-3015 |
| Practice Telephone | 9202610400 |
| Practice Fax Number | 9202614840 |
| Mailing Telephone | 9202610400 |
| Mailing Fax Number | 9202614840 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | MRS. JULIE A. MARKS (CFO) |
| Authorized Official Telephone | 9202064930 |
| Is Organization Subpart | Y |
| Parent Organization Name | MORAVIAN HOMES OF STURGEON, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2143 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH PLAN | 534433 | 01 |
| WI | 20139200 | 05 |
| Other Name | Type Code |
|---|---|
| Marquardt Health and Rehab Center | Doing Business As Name - Organization |
| Street Address |
1020 HILL ST |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780169011 | Mikko Chiong Dela Rosa | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2018-10-02 |
| 1114306875 | Michael E Onsrud | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2015-05-27 |
| 1043699242 | Thuan Van Ngo | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2015-05-21 |
| 1407252729 | Brittany Batten | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-13 |
| 1295131522 | Courtney Wack | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-13 |
| 1770989378 | Jenna Quinn | Occupational Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-08 |
| 1831595586 | Jennifer Garcia | Occupational Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-07 |
| 1164834503 | Sherry Gnabasik | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-05-20 |
| 1942611017 | Shelly Penn | Occupational Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-05-12 |
| 1679993752 | Rosary Moscoso Maningat | Physical Therapist | 1020 Hill St, Watertown, WI 53094 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| Find all providers in zip 53098 | ||||
| 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. |
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| 1194060145 | Samaritan Senior Village, Inc. | Skilled Nursing Facility | 22691 Campus Drive, Watertown, NY 13601-0050 | 2012-12-03 |
| 1558430256 | Waterbury Extended Care Facility, Inc. | Skilled Nursing Facility | 35 Bunker Hill Rd, Watertown, CT 06795-3304 | 2006-11-07 |
| 1093808081 | Mvm Inc | Skilled Nursing Facility | 560 Woodbury Rd, Watertown, CT 06795-1725 | 2006-10-02 |
| 1073543450 | Prairie Lakes Healthcare | Skilled Nursing Facility | 415 4th Ave Ne, Watertown, SD 57201-2614 | 2006-07-03 |
| 1336197839 | Samaritan Keep Nursing Home Inc | Skilled Nursing Facility | 133 Pratt St, Watertown, NY 13601-4300 | 2006-05-05 |
| 1356339006 | Elim Homes, Inc. | Skilled Nursing Facility | 409 Jefferson Ave Sw, Watertown, MN 55388-9250 | 2005-10-07 |
| 1508852864 | Nash Associates, Inc. | Skilled Nursing Facility | 59 Coolidge Hill Rd, Watertown, MA 02472-2816 | 2005-09-22 |
| 1255333803 | Jenkins Living Center, Inc. | Skilled Nursing Facility | 215 S Maple, Watertown, SD 57201-4316 | 2005-08-12 |
| 1588296313 | Vero Health Xiv, LLC | Skilled Nursing Facility | 59 Coolidge Hill Rd, Watertown, MA 02472-2816 | 2020-02-10 |
| 1972154011 | Bedrock Hcs At Watertown LLC | Skilled Nursing Facility | 121 Hospital Dr, Watertown, WI 53098-3303 | 2019-09-20 |
| Find all providers in WATERTOWN | ||||
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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.