REGENCY TERRACE SOUTH INC (NPI# 1013908698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013908698 |
| Entity Type | Organization |
| Organization Name | REGENCY TERRACE SOUTH INC |
| Other Organization Name | CARE-AGE OF BROOKFIELD |
| Practice Address |
1755 N Barker Rd Brookfield WI 53045-1801 |
| Practice Telephone | 2628213939 |
| Practice Fax Number | 2628213944 |
| Mailing Telephone | 2628213939 |
| Mailing Fax Number | 2628213944 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ALLAN F. BARTZ (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 2628213939 |
| Authorized Official Credential | RN BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3121 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20173600 | 05 |
| Other Name | Type Code |
|---|---|
| Care-Age of Brookfield | Doing Business As Name - Organization |
| Street Address |
1755 N BARKER RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586252 | Midwestern Post Acute Care Specialists LLC | Internal Medicine | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2020-07-29 |
| 1144466194 | Nancy Ann Kleist | Occupational Therapist | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-12-22 |
| 1811132475 | Laura Kay Broderick | Specialist | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-12-11 |
| 1861637456 | Coral Ann White | Physical Therapist | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-12-10 |
| 1578708160 | Johanna Rachel Brown | Physical Therapy Assistant | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-12-10 |
| 1306081005 | Lindsay Marie Hoff | Occupational Therapist | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-12-09 |
| 1770759060 | Monica Fleming | Speech-Language Pathologist | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-05-06 |
| 1982877924 | Michelle Maske | Occupational Therapist | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-04-10 |
| 1992978928 | Tammy Kay Allar | Occupational Therapy Assistant | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-04-10 |
| 1619140985 | Susan Wheeldon | Physical Therapist | 1755 N Barker Rd, Brookfield, WI 53045-1801 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| 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 |
|---|---|---|---|---|
| 1942488044 | Congregational Home Inc | Skilled Nursing Facility | 3150 Lilly Road, Brookfield, WI 53005-7623 | 2008-01-31 |
| 1922152859 | British Home for Retired Men and Women | Skilled Nursing Facility | 8700 31st St, Brookfield, IL 60513-1000 | 2007-01-22 |
| 1659304335 | Wheaton Franciscan Healthcare Terrace At St. Francis, Inc. | Skilled Nursing Facility | 19525 W North Ave, Brookfield, WI 53045-4107 | 2006-07-08 |
| 1255388864 | Brookfield Medical Investors, LLC | Skilled Nursing Facility | 315 Hunt St, Brookfield, MO 64628-2412 | 2006-05-28 |
| 1487609178 | Five Star Quality Care Wi LLC | Skilled Nursing Facility | 18740 West Bluemound Road, Brookfield, WI 53045-2936 | 2006-05-23 |
| 1174511927 | Tiffany Care Centers | Skilled Nursing Facility | 116 E Pratt St, Brookfield, MO 64628-1337 | 2005-10-06 |
| 1902407356 | Aria of Brookfield | Skilled Nursing Facility | 18740 W Bluemound Rd, Brookfield, WI 53045-2936 | 2020-11-03 |
| 1518517424 | Snh Wis Tenant LLC | Skilled Nursing Facility | 18740 W Bluemound Rd, Brookfield, WI 53045-2936 | 2019-09-13 |
| 1841659935 | Wheaton Franciscan Healthcare-franciscan Woods | Skilled Nursing Facility | 19525 W North Ave, Brookfield, WI 53045-4107 | 2016-02-17 |
| 1912340746 | Genesis Healthcare | Skilled Nursing Facility | 660 Woelfel Rd, Brookfield, WI 53045-2927 | 2013-04-11 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.