Trousdale Foundation, Inc Benchmark Healthcare of Dane County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2944 Issued in WI

Legal business name

TROUSDALE FOUNDATION, INC BENCHMARK HEALTHCARE OF DANE COUNTY

Doing business as

Heartland Country Village

Practice address

634 Center St
Black Earth, WI 53515-9544

Phone

(608) 767-2572

Fax

(608) 767-2565

NPI assigned

May 27, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth C Hart Jr.

Title

Treasurer

Phone

(423) 584-6755

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Country Village Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1003819616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 CENTER ST",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "535159544",
            "telephone_number": "608-767-2572",
            "fax_number": "608-767-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 CENTER ST",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "535159544",
            "telephone_number": "608-767-2572",
            "fax_number": "608-767-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROUSDALE FOUNDATION, INC BENCHMARK HEALTHCARE OF DANE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "423-584-6755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20182900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Country Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Country Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa M Sievert
• Tessa Slama, BCBA
• Linnea J. Smith, MD
• Todd A Stahnke, D.D.S.
• Amy Treichel, OTR
• Village Family Dental Asscociates
• Sarah Wolfgram, LMT

• Skilled Nursing Facility in Black Earth, WI
• Providers in Black Earth, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.