EVERGREEN RETIREMENT COMMUNITY, INC. (NPI# 1144213281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144213281 |
| Entity Type | Organization |
| Organization Name | EVERGREEN RETIREMENT COMMUNITY, INC. |
| Practice Address |
1130 N Westfield St Oshkosh WI 54902-3217 |
| Practice Telephone | 9202332340 |
| Practice Fax Number | 9202372109 |
| Mailing Telephone | 9202332340 |
| Mailing Fax Number | 9202372109 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. PEGGY F BELLIN (HEALTH CENTER ADMINISTRATOR) |
| Authorized Official Telephone | 9202376200 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2057 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20136400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588097810 | Evergreen Retirement Community, Inc. | Home Health | 1125 N Westfield St, Oshkosh, WI 54902-3216 | 2013-08-09 |
| Street Address |
1130 N WESTFIELD ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54902-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497218960 | Kaylin H Arps | Physical Therapy Assistant | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2019-04-10 |
| 1447724976 | Yetunde M Oyeyinka | Speech-Language Pathologist | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2019-01-17 |
| 1043724925 | Michael Philippi | Physical Therapy Assistant | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2017-11-29 |
| 1871002469 | Jenna Lamay Magsam | Physical Therapy Assistant | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2017-09-26 |
| 1700395837 | Jaclyn Marie Schreiner Peer | Occupational Therapist | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2017-09-20 |
| 1922466754 | Eric Hansford | Physical Therapy Assistant | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2016-02-08 |
| 1265813083 | Jenell Hanko | Occupational Therapy Assistant | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2015-06-17 |
| 1174878185 | Kyle D Rasmus | Specialist | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2012-07-16 |
| 1891078010 | Caleb James Krull | Physical Therapist | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2011-09-23 |
| 1174838221 | Christine Reynolds | Occupational Therapy Assistant | 1130 N Westfield St, Oshkosh, WI 54902-3217 | 2010-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688363 | Grandpa Ray's Home Care Partners LLC | In Home Supportive Care | 1755 W 7th Avenue, Oshkosh, WI 54902 | 2020-04-22 |
| 1942866314 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1212 S Koeller St, Oshkosh, WI 54902 | 2019-05-11 |
| 1508299926 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1736 W. 9th Ave., Oshkosh, WI 54902 | 2013-08-21 |
| 1881971513 | Eric D Jachthuber | Pharmacist | 950 Koeller Rd, Oshkosh, WI 54902 | 2011-11-09 |
| 1912158148 | Jennifer L Daly | Registered Nurse | 648 West 5th Avenue, Oshkosh, WI 54902 | 2008-10-07 |
| 1093873028 | Phyllis Ann Pieplow | Registered Nurse | 2307 Doty St, Oshkosh, WI 54902 | 2006-12-04 |
| 1336210939 | Juliette P M Sterkens | Audiologist | 1820 West Pointe Drive, Fox Valley Hearing Ctr Inc, Oshkosh, WI 54902 | 2006-11-13 |
| 1043266927 | Christopher S. Mcfarlane | Dentist | 1875 West Pointe Dr., Oshkosh, WI 54902 | 2006-05-25 |
| 1285688192 | Theresa Lynn Petrick Gatchell | Optometrist | 1300 S Koeller Road, Oshkosh, WI 54902 | 2006-05-22 |
| 1558329821 | Teresa M Vanaacken | Physical Therapist | 300 S Koeller Street, Suite B, Oshkosh, WI 54902 | 2006-05-03 |
| Find all providers in zip 54902 | ||||
| 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 |
|---|---|---|---|---|
| 1215290838 | Mayville Nursing and Rehab | Skilled Nursing Facility | 2342 Allerton Dr, Oshkosh, WI 54904-8214 | 2012-06-19 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1437152204 | Winnebago County | Skilled Nursing Facility | 725 Butler Ave, Oshkosh, WI 54901-8149 | 2005-05-24 |
| 1952833048 | Northpoint Nursing and Rehab, LLC | Skilled Nursing Facility | 1850 Bowen St, Oshkosh, WI 54901-2356 | 2017-03-29 |
| 1639538796 | Oshkosh Management, LLC | Skilled Nursing Facility | 1850 Bowen St, Oshkosh, WI 54901-2356 | 2016-02-17 |
| 1659382711 | Mercy Medical Center of Oshkosh, Inc | Skilled Nursing Facility | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2006-08-11 |
| 1124081229 | Bethel Home, Inc. | Skilled Nursing Facility | 225 N Eagle St, Oshkosh, WI 54902-4125 | 2006-04-10 |
| 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.