COUNTY OF OUTAGAMIE (NPI# 1639167430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639167430 |
| Entity Type | Organization |
| Organization Name | COUNTY OF OUTAGAMIE |
| Other Organization Name | BREWSTER VILLAGE |
| Practice Address |
3300 W Brewster St Appleton WI 54914 |
| Practice Telephone | 9208325400 |
| Practice Fax Number | 9208324922 |
| Mailing Telephone | 9208325400 |
| Mailing Fax Number | 9208324922 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | DAVID A ROTHMANN (ADMINISTRATOR) |
| Authorized Official Telephone | 9208325400 |
| Authorized Official Credential | NHM ADMINISTRATO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2371 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20125400 | 05 |
| Other Name | Type Code |
|---|---|
| Brewster Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629138995 | County of Outagamie | Case Management | 320 S. Walnut St., Appleton, WI 54911-5918 | 2006-12-09 |
| Street Address |
3300 W BREWSTER ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629610175 | Kalie Ann Maiden | Physical Therapist | 3300 W Brewster St, Appleton, WI 54914-6444 | 2019-10-16 |
| 1740760537 | Courtney Paige Weber | Occupational Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2018-08-21 |
| 1285114637 | Joslyn Destree | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2018-08-15 |
| 1255819082 | Siraya Schleis | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2018-08-02 |
| 1932692621 | Kaitlyn Sue Hein | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914 | 2018-06-07 |
| 1093220774 | Karissa Mccorison | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2017-12-04 |
| 1104336767 | Whitney Ann Hartjes | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2017-10-09 |
| 1881040079 | Candice Freese | Occupational Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-6444 | 2016-05-06 |
| 1922470376 | Jennifer Fischer | Occupational Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-1699 | 2015-10-26 |
| 1487021085 | Shawn Gardiner | Physical Therapy Assistant | 3300 W Brewster St, Appleton, WI 54914-1699 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1376903161 | 725 Knapp St Operating Company, LLC | Skilled Nursing Facility | 1726 N Ballard Rd, Appleton, WI 54911-2444 | 2016-03-07 |
| 1770530990 | Franciscan Care and Rehabilitation Center, Inc. | Skilled Nursing Facility | 2915 N Meade St, Appleton, WI 54911-1509 | 2006-05-31 |
| 1679529077 | Manorcare Health Services LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2006-05-26 |
| 1386642874 | Tdr, Inc. | Skilled Nursing Facility | 325 E Florida Ave, Appleton, WI 54911-1325 | 2005-07-08 |
| 1275130403 | Appleton Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-10-01 |
| 1194355909 | Edenbrook On Meade Nursing and Rehab LLC | Skilled Nursing Facility | 2915 N Meade St, Appleton, WI 54911-1509 | 2020-01-21 |
| 1710517529 | Edenbrook On Oneida Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-01-21 |
| 1851749576 | Rennes Rehabilitation | Skilled Nursing Facility | 325 E Florida Ave, Appleton, WI 54911-1325 | 2016-06-03 |
| 1639535099 | 601 Briarcliff Drive Operating Company, LLC | Skilled Nursing Facility | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2016-01-14 |
| 1285012872 | Fox Valley Transitional Care LLC | Skilled Nursing Facility | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2015-05-14 |
| Find all providers in APPLETON | ||||
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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.