WISCONSIN ILLINOIS SENIOR HOUSING INC. (NPI# 1063756286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063756286 |
| Entity Type | Organization |
| Organization Name | WISCONSIN ILLINOIS SENIOR HOUSING INC. |
| Other Organization Name | EDGERTON CARE CENTER INC. |
| Practice Address |
313 Stoughton Rd Edgerton WI 53534-1132 |
| Practice Telephone | 6088841330 |
| Practice Fax Number | 6088841331 |
| Mailing Telephone | 6088841330 |
| Mailing Fax Number | 6088841331 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | STEPHANIE SHERMAN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3039800611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2235 | WI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Edgerton Care Center Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780673954 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 471 W Terra Cotta Ave, Crystal Lake, IL 60014-3434 | 2005-10-19 |
| 1649264623 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 425 Summit St, Wild Rose, WI 54984-6804 | 2005-09-07 |
| 1134111826 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 645 N. Church St, Elkhorn, WI 53121 | 2005-08-18 |
| 1336141357 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 211 S Curtis St, Lake Geneva, WI 53147-2052 | 2005-08-10 |
| 1659371938 | Wisconsin Illinois Senior Housing Inc. | Assisted Living Facility | 407 N 8th St, Mount Horeb, WI 53572-1872 | 2005-07-28 |
| 1700884020 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 251 Forest Ln, Montello, WI 53949-9380 | 2005-07-11 |
| 1427408202 | Wisconsin Illinois Senior Housing Inc. | Nurse Practitioner | 640 N Broad St, Elkhorn, WI 53121-1124 | 2016-06-13 |
| 1265825483 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 510 1st St, Spooner, WI 54801-1241 | 2015-03-12 |
| 1043463961 | Wisconsin Illinois Senior Housing Inc. | Skilled Nursing Facility | 3271 North St, East Troy, WI 53120-1147 | 2008-10-23 |
| Street Address |
313 STOUGHTON RD |
| City | EDGERTON |
| State | WI |
| Zip Code | 53534-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588777585 | Sherry Catacutan | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-08-16 |
| 1457821159 | Brett Podlinsek | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-11-26 |
| 1619455466 | Rachel E Snow | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-08-03 |
| 1972096097 | Melissa Peige Schreier | Speech-Language Pathologist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-06-13 |
| 1245722305 | Crystal Marie Borde | Occupational Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-06-05 |
| 1417468646 | Adam Paljieg | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2017-10-16 |
| 1851719793 | Domini Pierce | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2014-03-28 |
| 1801142641 | Theresa Deniege London | Occupational Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2012-07-30 |
| 1720357056 | Swapnaja Kaur Patpatia | Occupational Therapist | 313 Stoughton Rd, Edgerton Care Centre, Edgerton, WI 53534-1132 | 2011-12-15 |
| 1376860064 | Cassy M Cooley | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2010-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244144 | Matthew Mark Houfe | Chiropractor | 75 West Fulton St, Edgerton, WI 53534 | 2008-12-17 |
| 1184812612 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Clinic/Center | 119 Henry Street, Edgerton, WI 53534 | 2007-10-10 |
| 1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
| 1447219845 | William Jack Rein | Physical Therapist | 119 Henry St, Edgerton, WI 53534 | 2006-03-23 |
| 1780700708 | Janna Lynn Hack | Social Worker | 302 S. Main St., Edgerton, WI 53534 | 2007-03-21 |
| 1841301181 | Thomas H Reitz Dds Sc | Dentist | 1007 N Main St, Edgerton, WI 53534 | 2006-08-31 |
| 1093729584 | Michael James Long | Optometrist | 1110 N Main St, Edgerton, WI 53534 | 2006-07-28 |
| 1336158625 | Fort Healthcare, Inc. | Otolaryngology | 528 Stoughton Rd, Edgerton, WI 53534-1137 | 2006-08-05 |
| 1679700066 | Fort Healthcare, Inc | Otolaryngology | 528 Stoughton Rd, Ste 2, Edgerton, WI 53534-1137 | 2009-06-12 |
| 1487824983 | Betts Family Medical Clinic, Ltd | Family Medicine | 528 Stoughton Rd, Edgerton, WI 53534-1137 | 2008-03-11 |
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| 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 |
|---|---|---|---|---|
| 1912995176 | Edgerton Long Term Care, Inc. | Skilled Nursing Facility | 328 W Vine St, Edgerton, OH 43517-9600 | 2005-10-12 |
| 1063026755 | Pgn Op Park LLC | Skilled Nursing Facility | 328 W Vine St, Edgerton, OH 43517-9600 | 2020-09-01 |
| 1043463821 | Peregrine Health Services of Edgerton,llc | Skilled Nursing Facility | 328 W Vine St, Edgerton, OH 43517-9600 | 2008-10-24 |
| 1265593503 | Wisconsin Illinois Senior Housing, Inc. | Skilled Nursing Facility | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-12-12 |
| 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 |
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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.