SSC ASHLAND OPERATING COMPANY LLC (NPI# 1245351667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245351667 |
Entity Type | Organization |
Organization Name | SSC ASHLAND OPERATING COMPANY LLC |
Other Organization Name | ASHLAND HEALTH AND REHABILITATION CENTER |
Practice Address |
1319 Beaser Ave Ashland WI 54806-3614 |
Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
Practice Telephone | 7156823468 |
Mailing Telephone | 8324676000 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2013-07-31 |
Authorized Official Name | THOMAS P. SIMONS (SENIOR VP OPERATIONS FINANCE) |
Authorized Official Telephone | 7708295100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 3204 | WI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 20194600 | 05 | |
WI | PREVIOUS MEDICAID NUMBER | 20172500WI | 01 |
Other Name | Type Code |
---|---|
Ashland Health and Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
1319 BEASER AVE |
City | ASHLAND |
State | WI |
Zip Code | 54806-3614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629695630 | Allissah Jerome | Physical Therapist | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2020-06-25 |
1336707785 | Brandon M Wolff | Physical Therapist | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2019-05-31 |
1891268454 | Nsh Ashland LLC | Skilled Nursing Facility | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2019-01-07 |
1942740568 | Ashley Verkinderen | Occupational Therapist | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2017-03-01 |
1104368356 | Samantha Mae Oliphant | Physical Therapy Assistant | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2016-11-04 |
1760791974 | Euzar Balinas | Physical Therapist | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2010-10-05 |
1184881906 | Nancy J Paulson | Physical Therapist | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2008-05-20 |
1871760157 | Jill Marie Grehn | Physical Therapy Assistant | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2008-05-14 |
1184890766 | Jennifer Ann Morgan | Physical Therapist | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2008-05-05 |
1093980203 | Jane Wiedmeyer Anderson | Speech-Language Pathologist | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2008-04-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
Find all providers in zip 54806 |
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 |
---|---|---|---|---|
1861865065 | Waterview Lodge LLC | Skilled Nursing Facility | 250 W Union St, Ashland, MA 01721-1420 | 2015-11-10 |
1609822089 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 1700 Furnas Street, Ashland, NE 68003-1254 | 2006-05-26 |
1003866757 | Ggnsc Ashland LLC | Skilled Nursing Facility | 911 3rd St W, Ashland, WI 54806-1311 | 2006-05-11 |
1609855154 | Vanguard of Ashland, LLC | Skilled Nursing Facility | 16056 Boundary Dr, Ashland, MS 38603 | 2006-01-12 |
1285623892 | Woodland Oaks Manor LLC | Skilled Nursing Facility | 1820 Oakview Rd, Ashland, KY 41101-3677 | 2005-10-17 |
1174511398 | Diversicare Leasing Corp. | Skilled Nursing Facility | 12800 Princeland Dr, Ashland, KY 41102-9681 | 2005-10-11 |
1659368884 | Kingston of Ashland, LLC | Skilled Nursing Facility | 20 Amberwood Pkwy, Ashland, OH 44805-9765 | 2005-10-03 |
1679569909 | Care Center (linda Vista) Inc | Skilled Nursing Facility | 135 Maple St, Ashland, OR 97520-1514 | 2005-09-22 |
1952397366 | Ashland Nursing & Rehab LLC | Skilled Nursing Facility | 300 S Henry Clay Blvd, Ashland, MO 65010-9438 | 2005-09-21 |
1487653457 | The Good Shepherd Home for The Aged | Skilled Nursing Facility | 622 Center St, Ashland, OH 44805-3343 | 2005-07-20 |
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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.