ASCENSION LIVING - LAKESHORE AT SIENA, INC. (NPI# 1831122431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831122431 |
| Entity Type | Organization |
| Organization Name | ASCENSION LIVING - LAKESHORE AT SIENA, INC. |
| Other Organization Name | LAKESHORE AT SIENA |
| Practice Address |
5643 Erie St Racine WI 53402-1934 |
| Practice Telephone | 2628989100 |
| Practice Fax Number | 2626872488 |
| Mailing Telephone | 2628989100 |
| Mailing Fax Number | 2626872488 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | MRS. PAULA RENEE MILLER (MANAGER -NET REVENUE MGMT & FINANCI) |
| Authorized Official Telephone | 8165965608 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3087 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20178400 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeshore at Siena | Doing Business As Name - Organization |
| Wheaton Franciscan Healthcare-Lakeshore Manor | Doing Business As Name - Organization |
| Street Address |
5643 ERIE ST |
| City | RACINE |
| State | WI |
| Zip Code | 53402-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862991 | Nichole Deschler | Physical Therapy Assistant | 5643 Erie St, Racine, WI 53402-1934 | 2018-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| 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 |
|---|---|---|---|---|
| 1871677963 | Lincoln Lutheran Community Care Corporation | Skilled Nursing Facility | 6101 16th Street, Racine, WI 53406 | 2006-10-25 |
| 1215011317 | Lincoln Lutheran Home of Racine Inc | Skilled Nursing Facility | 1700 Ca Becker Drive, Racine, WI 53406 | 2006-10-25 |
| 1649275991 | Racine County | Skilled Nursing Facility | 3205 Wood Rd, Racine, WI 53406-5048 | 2005-06-14 |
| 1346763729 | Complete Care At Ridgewood LLC | Skilled Nursing Facility | 3205 Wood Rd, Racine, WI 53406-5048 | 2017-07-18 |
| 1396126348 | Monica Doyle | Skilled Nursing Facility | 6101 16th St, Racine, WI 53406-4467 | 2015-06-16 |
| 1477931756 | Villa At Lincoln Park, LLC | Skilled Nursing Facility | 1700 C A Becker Dr, Racine, WI 53406-4714 | 2015-05-07 |
| 1548539323 | Ridgewood | Skilled Nursing Facility | 3205 Wood Rd, Racine, WI 53406-5048 | 2011-12-22 |
| 1316147895 | Angel L Platzer | Skilled Nursing Facility | 6101 16th St, Racine, WI 53406-4467 | 2007-07-23 |
| 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 | ||||
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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.