CEDAR CREST, INC. (NPI# 1831171610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831171610 |
| Entity Type | Organization |
| Organization Name | CEDAR CREST, INC. |
| Practice Address |
1702 S River Rd Janesville WI 53546-5648 |
| Practice Telephone | 6087560344 |
| Practice Fax Number | 6087569275 |
| Mailing Telephone | 6087560344 |
| Mailing Fax Number | 6087569275 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARION WOZNIAK (PRESIDENT / CEO) |
| Authorized Official Telephone | 6083736301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2201 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20148600 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CEDAR CREST, INC. | 102 W Adams St, La Grange, KY 40031-1132 |
| Street Address |
1702 S RIVER RD |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-5648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255811998 | Amy Jo Gapinski | Occupational Therapist | 1702 S River Rd, Janesville, WI 53546-5648 | 2018-08-21 |
| 1548749542 | Sabrina Ann Sanderson | Occupational Therapist | 1702 S River Rd, Janesville, WI 53546-5648 | 2018-08-09 |
| 1659850816 | Dylan Heine | Physical Therapist | 1702 S River Rd, Janesville, WI 53546-5648 | 2018-08-08 |
| 1316431356 | Deena Kingery Fleener | Physical Therapy Assistant | 1702 S River Rd, Janesville, WI 53546-5648 | 2018-06-21 |
| 1306374988 | Brandi Larson | Occupational Therapy Assistant | 1702 S River Rd, Janesville, WI 53546-5648 | 2017-05-26 |
| 1982132759 | Katilin Erdmann | Occupational Therapy Assistant | 1702 S River Rd, Janesville, WI 53546-5648 | 2017-05-24 |
| 1831557008 | Janet Steinhoff | Occupational Therapist | 1702 S River Rd, Janesville, WI 53546-5648 | 2016-02-03 |
| 1326440397 | Delanne Tomaino | Physical Therapy Assistant | 1702 S River Rd, Janesville, WI 53546-5648 | 2014-09-22 |
| 1457788689 | Joan Marie Ziegel | Occupational Therapist | 1702 S River Rd, Janesville, WI 53546-5648 | 2013-10-02 |
| 1063759991 | Brittany Elizabeth Itnyre | Occupational Therapy Assistant | 1702 S River Rd, Janesville, WI 53546-5648 | 2013-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| 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 |
|---|---|---|---|---|
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1720488729 | Alexandra Paige Waldron | Skilled Nursing Facility | 109 S Atwood Ave, Janesville, WI 53545-4098 | 2014-08-26 |
| 1649211947 | Janesville Nursing Home | Skilled Nursing Facility | 102 E North St, Janesville, MN 56048-9793 | 2006-06-09 |
| 1740278456 | County of Rock County Clerk | Skilled Nursing Facility | 3418 N County Hwy F, Janesville, WI 53545 | 2005-10-07 |
| 1598766784 | Sisters of Charity of Our Lady Mother of The Church | Skilled Nursing Facility | 502 Saint Lawrence Ave, Janesville, WI 53545-4036 | 2005-08-10 |
| 1427105006 | Mercy Health System Corporation | Skilled Nursing Facility | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2007-01-04 |
| 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 |
| 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 |
| 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 |
| 1164876397 | Gemini Holdings, LLC | Skilled Nursing Facility | 910 Bear Paw Ave, Rice Lake, WI 54868-1388 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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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.