NPIMap

Organization Active NPI

County of Grant

Doing business as Orchard Manor Nursing Home

  • Skilled Nursing Facility
  • Lancaster, WI
National Provider Identifier
1013904085
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3108 Issued in WI
Legal business name
COUNTY OF GRANT
Doing business as
Orchard Manor Nursing Home
Practice address
8800 Hwy 61
Lancaster, WI 53813-9306
Phone
(608) 723-2113
Fax
(608) 723-2210
NPI assigned
Oct 4, 2005
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Ms. Alesha Erdenberger, N.H.A.
Title
Administrator
Phone
(608) 723-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3108 WI Primary

Addresses

Primary practice location

8800 Hwy 61
Lancaster, WI 53813-9306

Mailing address

8800 Hwy 61
Lancaster, WI 53813-9306
Phone (608) 723-2113

Other identifiers 1

IdentifierTypeStateIssuer
20153900MedicaidWI

Other names 1

  • Orchard Manor Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120112000446 WI Part A Provider - Skilled Nursing Facility 0244212959 Practice locations: Lancaster, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013904085. Details of each certification follow.

Skilled nursing facility certification: CCN 525290

Legal name
COUNTY OF GRANT
Doing business as
ORCHARD MANOR NORTH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1978
Last certification
Aug 15, 2024
Beds
74
Ownership / control type
County
Organization structure
CorporationNon-profit
Enrollment address
8800 Hwy 61
Lancaster, WI 53813-9306
Nursing home name
ORCHARD MANOR

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Orchard ManorCCN 525290 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jul 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7449.1 residents per day on average
Penalties (3 years)
2Fines totaling $22,425

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
County of Grant Dba Unified Community Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of Grant Organization, Lancaster, WI 5% Or Greater Direct Ownership Interest Jan 1, 1976
Operational/Managerial Control Jan 1, 1976
Adp of the SNF Jan 1, 1976
Alesha M Erdenberger Individual Corporate DirectorAdministrator Sep 12, 2022 100%
Operational/Managerial Control Sep 12, 2022
Adp of the SNF Sep 12, 2022
Eric E Stader Individual Corporate DirectorMedical Director Jul 1, 2005
Operational/Managerial Control Jul 1, 2005
Adp of the SNF Jul 1, 2005

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of Grant

    dba Grant County Health Dept

    • Public Health or Welfare Agency
    • Lancaster, WI
    • NPI 1134281967

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • County of Grant

    dba Grant County Home Nursing

    • Home Health Agency
    • Lancaster, WI
    • NPI 1710047923

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • County of Grant

    dba Grant County Hospice

    • Community Based Hospice Care Agency
    • Lancaster, WI
    • NPI 1841359536

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • County of Grant Dba Unified Community Services

    dba Unified Community Services

    • Community/Behavioral Health Agency
    • Lancaster, WI
    • NPI 1588618789

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Eric E Stader, MD
    • Family Medicine Physician
    • Lancaster, WI
    • NPI 1821009614

    Adp of the SNF, Corporate Director, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grant County Home Nursing ServicesLancaster, WI, CCN 527027 Home health agency Operational/Managerial Control Mar 22, 2005
County of GrantLancaster, WI, CCN 521540 Hospice Operational/Managerial Control (100%) Mar 22, 2005

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Grant

    dba Grant County Home Nursing

    • Home Health Agency
    • Lancaster, WI
    • NPI 1710047923

    Operational/Managerial Control

    CMS ownership
  • County of Grant

    dba Grant County Hospice

    • Community Based Hospice Care Agency
    • Lancaster, WI
    • NPI 1841359536

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1013904085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 HWY 61",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538139306",
            "telephone_number": "608-723-2113",
            "fax_number": "608-723-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 HWY 61",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538139306",
            "telephone_number": "608-723-2113",
            "fax_number": "608-723-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "ERDENBERGER",
        "authorized_official_first_name": "ALESHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-723-2113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20153900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orchard Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, WI

Sources for this page

Verify at the official NPI Registry.