NSH RANDOLPH LLC (NPI# 1972045698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972045698 |
| Entity Type | Organization |
| Organization Name | NSH RANDOLPH LLC |
| Other Organization Name | CONTINENTAL MANOR OF RANDOLPH HEALTH SERVICES |
| Practice Address |
502 S High St Randolph WI 53956-1499 |
| Mailing Address |
5150 N Port Washington Rd Suite 260 Glendale WI 53217-5474 |
| Practice Telephone | 9203263171 |
| Practice Fax Number | 9203263239 |
| Mailing Telephone | 4149625250 |
| Mailing Fax Number | 4149625251 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | JEFFREY CHARLES HOEHN (MANAGING MEMBER) |
| Authorized Official Telephone | 6366988600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Continental Manor of Randolph Health Services | Doing Business As Name - Organization |
| Street Address |
502 S HIGH ST |
| City | RANDOLPH |
| State | WI |
| Zip Code | 53956-1499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760439111 | Commercial Management, Inc. | Skilled Nursing Facility | 502 S High St, Randolph, WI 53956-1499 | 2006-05-30 |
| 1760928055 | Taryn Sommerfield | Physical Therapy Assistant | 502 S High St, Randolph, WI 53956-1499 | 2017-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778324 | Shannon N Sandstrom | Nurse Practitioner | 137 Cambria St, Randolph, WI 53956 | 2006-05-18 |
| 1336102169 | Melissa Elaine Lucarelli | Family Medicine | 504 S High Street, Randolph, WI 53956 | 2006-04-11 |
| 1811039761 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 137 Cambria St, Randolph, WI 53956 | 2007-02-13 |
| 1497832257 | Randolph Community Clinic Sc | Family Medicine | 504 S High Street, Randolph, WI 53956 | 2006-11-01 |
| 1770529828 | Agnesian Healthcare | Durable Medical Equipment & Medical Supplies | 137 Cambria St, Randolph, WI 53956 | 2006-06-20 |
| 1962052548 | Tessa Lindner | Physical Therapist | 502 N High St, Randolph, WI 53956-1117 | 2019-09-16 |
| 1245646645 | Rebecca Yelle | Occupational Therapist | 509 Williams St, Randolph, WI 53956-1122 | 2014-07-07 |
| 1003959529 | James Leslie Jones | Chiropractor | 175 Stark St, Randolph, WI 53956-1243 | 2007-02-14 |
| 1801955950 | Ross D Werner | Dentist | 125 N High St, Randolph, WI 53956-1267 | 2006-12-06 |
| 1356383822 | Md Group II LLC | Durable Medical Equipment & Medical Supplies | 107 N High St, Randolph, WI 53956-1267 | 2006-06-11 |
| Find all providers in zip 53956 | ||||
| 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 |
|---|---|---|---|---|
| 1871540070 | Hollywell Healthcare, LLC | Skilled Nursing Facility | 975 N Main St, Randolph, MA 02368-3056 | 2006-05-31 |
| 1760439111 | Commercial Management, Inc. | Skilled Nursing Facility | 502 S High St, Randolph, WI 53956-1499 | 2006-05-30 |
| 1639143621 | Careage Management LLC | Skilled Nursing Facility | 811 S Main St, Randolph, NE 68771-1706 | 2006-02-15 |
| 1649279423 | 49 Thomas Patten Drive Operating Company, LLC | Skilled Nursing Facility | 49 Thomas Patten Dr, Randolph, MA 02368-3901 | 2005-07-14 |
| 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.