WOODLAND VILLAGE (NPI# 1992911796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992911796 |
| Entity Type | Organization |
| Organization Name | WOODLAND VILLAGE |
| Practice Address |
430 Manor Dr Suring WI 54174-9182 |
| Mailing Address |
1111 S River St Shawano WI 54166-3229 |
| Practice Telephone | 9028422191 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHELLE ANKER (COTA) |
| Authorized Official Telephone | 9208422191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1530-027 | WI | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | WOODLAND VILLAGE APARTMENTS, LLC | 1101 Ne 5th, Pryor, OK 74361 |
| System for Award Management (SAM) Entities | WOODLAND VILLAGE APTS | 801 Industrial Loop, Breckenridge, TX 76424-2300 |
| Massachusetts Corporations | WOODLAND VILLAGE ASSOCIATES, INC. | 41 Highland Ave., Randolph, MA 02368 |
| Massachusetts Corporations | WOODLAND VILLAGE ESTATES, LLC | 124 Main St., Westford, MA 01460-0000 |
| Washington State Corporations | WOODLAND VILLAGE HOMEOWNERS ASSOCIATION | 10159 Ne Garibaldi Loop, Bainbridge Is, WA 98110-3975 |
| Virginia Business Entities | WOODLAND VILLAGE HOMEOWNERS ASSOCIATION | 397 Herndon Pkwy, Ste 100, Herndon, Virginia 20170 |
| Connecticut Business Registrations | Woodland Village Homes, LLC | 106 Bainton Rd., West Hartford, CT 06117 |
| Oklahoma Business Registrations | WOODLAND VILLAGE LIMITED PARTNERSHIP | 5950 East 31st St, Tulsa, OK 74135 |
| New York State Corporations | WOODLAND VILLAGE LLC | 12 College Road, Monsey, Ny 10952 |
| System for Award Management (SAM) Entities | WOODLAND VILLAGE NURSING HOME | 430 Manor Dr, Suring, WI 54174-9182 |
| Street Address |
430 MANOR DR |
| City | SURING |
| State | WI |
| Zip Code | 54174-9182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145291 | Woodland Village, Inc. | Skilled Nursing Facility | 430 Manor Dr, Suring, WI 54174-9182 | 2005-06-24 |
| 1346841996 | Ariel Chiara Oviedo | Occupational Therapist | 430 Manor Dr, Suring, WI 54174-9182 | 2020-11-02 |
| 1669084273 | Katelyn Clary | Physical Therapist | 430 Manor Dr, Suring, WI 54174-9182 | 2020-08-17 |
| 1568026904 | Bay At Suring Health and Rehabilitation Center LLC | Skilled Nursing Facility | 430 Manor Dr, Suring, WI 54174-9182 | 2019-04-30 |
| 1417484999 | Abigail Rose Konitzer | Speech-Language Pathologist | 430 Manor Dr, Suring, WI 54174-9182 | 2017-05-16 |
| 1538485255 | Dawn Christine Janiak | Physical Therapy Assistant | 430 Manor Dr, Suring, WI 54174-9182 | 2010-04-20 |
| 1972829620 | Michelle L Anker | Occupational Therapy Assistant | 430 Manor Dr, Suring, WI 54174-9182 | 2010-04-20 |
| 1699946939 | Karen Frances Schneider | Registered Nurse | 430 Manor Dr, Suring, WI 54174-9182 | 2008-03-14 |
| 1962613778 | John Kleczewski | Occupational Therapist | 430 Manor Dr, Suring, WI 54174-9182 | 2007-05-24 |
| 1316153919 | Lori Ann Beaumier | Physical Therapy Assistant | 430 Manor Dr, Suring, WI 54174-9182 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750412292 | St Clare Memorial Hospital, Inc | Nurse Practitioner | 913 East Main Street, Suring, WI 54174 | 2007-03-08 |
| 1053835173 | Kim M Berg | Occupational Therapist | 701 Willow Street, Peshtigo, WI 54174 | 2017-07-31 |
| 1003898867 | Karen Ann Zahn | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2005-11-17 |
| 1154984193 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 913 Main St, Suring, WI 54174-9012 | 2019-04-16 |
| 1316277056 | Community Memorial Hospital | Non-Pharmacy Dispensing Site | 913 Main St, Suring, WI 54174-9012 | 2009-12-31 |
| 1366622417 | Melissa Kamps | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-11-06 |
| 1457530156 | Kathleen Cecelia Raboin | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-30 |
| 1134308943 | Laura Blawat | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-29 |
| 1558540716 | Janet Lee Glime | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-24 |
| 1578641031 | Diane Lynn Boneck | Licensed Practical Nurse | 233 N Krueger St, Suring, WI 54174-9014 | 2006-11-01 |
| Find all providers in zip 54174 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504600 | North Oak Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 1510 S 30th St, Manitowoc, WI 54220-5902 | 2017-05-11 |
| 1235685132 | Richard Hobin II | Nursing Facility/Intermediate Care Facility | 545 Hillcrest St, Viroqua, WI 54665-1750 | 2016-08-30 |
| 1154723955 | Amber Schmidt | Nursing Facility/Intermediate Care Facility | 113 Baehr St, Cecil, WI 54111-9204 | 2014-09-23 |
| 1184051047 | Amlang LLC | Nursing Facility/Intermediate Care Facility | 8303 Doe Glen Ct, Mount Pleasant, WI 53406-1756 | 2013-10-08 |
| 1427481480 | Madison College | Nursing Facility/Intermediate Care Facility | 1701 Wright St, Madison, WI 53704-2599 | 2013-08-14 |
| 1326310525 | Kate Droster | Nursing Facility/Intermediate Care Facility | 1227 Commonwealth Dr Apt 3, Fort Atkinson, WI 53538-3302 | 2012-02-02 |
| 1659640662 | Debra Jean Schwenn | Nursing Facility/Intermediate Care Facility | 2446 South 102nd Street Suite 340, Mj Care, Milwaukee, WI 53227 | 2011-12-20 |
| 1982999090 | Divine Healthcare Services | Nursing Facility/Intermediate Care Facility | 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI 53209-1026 | 2011-06-16 |
| 1043501893 | Denise L Holterman | Nursing Facility/Intermediate Care Facility | 27334 Foxhaven Dr, Wind Lake, WI 53185-1978 | 2011-04-27 |
| 1083937759 | Va Health Care System (644) | Nursing Facility/Intermediate Care Facility | 911 Skyview Ave, Little Chute, WI 54140-2627 | 2010-03-09 |
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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.