ST MICHAEL'S EVANGELICAL LUTHERAN HOME FOR THE AGED


Address: 270 North Street, Fountain City, WI 54629
Phone: 6086877721

ST MICHAEL'S EVANGELICAL LUTHERAN HOME FOR THE AGED (NPI# 1144293762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144293762
Entity Type Organization
Organization Name ST MICHAEL'S EVANGELICAL LUTHERAN HOME FOR THE AGED
Other Organization Name ST MICHAEL'S LUTHERAN HOME
Practice Address 270 North Street
Fountain City
WI 54629
Practice Telephone 6086877721
Practice Fax Number 6086874006
Mailing Telephone 6086877721
Mailing Fax Number 6086874006
Enumeration Date 2006-02-13
Last Update Date 2020-08-22
Authorized Official Name MR. DEAN H DIXON (NURSING HOME ADMINISTRATOR)
Authorized Official Telephone 6086877721
Authorized Official Credential NHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 49 WI Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 20156400 05

Other Provider/Organization Names

Other Name Type Code
St Michael's Lutheran Home Doing Business As Name - Organization

Office Location

Street Address 270 NORTH STREET
City FOUNTAIN CITY
State WI
Zip Code 54629

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033433305 Daniel J Ramer Pharmacist 130 S. Hill St., Fountain City, WI 54629 2010-03-16
1093914848 Sherry J Foust Speech-Language Pathologist St. Michael's Lutheran Home, 270 North St., Fountain City, WI 54629 2007-07-12
1740489715 Kathryn Jane Benke Physical Therapist 270 North St., Fountain City, WI 54629 2007-07-11
1740488188 Nicole L Kemp Physical Therapy Assistant 270 N St., Fountain City, WI 54629 2007-07-06
1285730143 Cheryl Thomas Kuhn Speech-Language Pathologist S2415 Conada Ridge Road, Fountain City, WI 54629 2006-09-16
1164621124 Barbara Ann Parent Occupational Therapist 270 North St., Fountain City, WI 54629 2007-07-11
1841200557 Joan M Schnabel Family Medicine 66 Liberty St, Fountain City, WI 54629-0005 2006-08-08
1285070664 Kyle William Grimes Chiropractor W502 Spur Ln, Fountain City, WI 54629-7208 2013-05-13
1457725285 Samantha Grimes Chiropractor W502 Spur Ln, Fountain City, WI 54629-7208 2015-11-17
1750783775 Foundations Chiropractic LLC Chiropractor W502 Spur Ln, Fountain City, WI 54629-7208 2014-09-22
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

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NPI Name Taxonomy Address Enumeration
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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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Competitor

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City FOUNTAIN CITY
Zip Code 54629

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Dataset Information

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.

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