Markesan Resident Home Incorporated

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3184 Issued in WI

Legal business name

MARKESAN RESIDENT HOME INCORPORATED

Practice address

1130 N Margaret St
Markesan, WI 53946-8516

Phone

(920) 398-2751

Fax

(920) 398-3937

NPI assigned

Jul 7, 2005

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam Ownby

Title

Administrator

Phone

(920) 398-2751

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARKESAN RESIDENT HOME, INC Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023015948. Details of each certification follow.

• CCN 525550 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525550

Legal name

MARKESAN RESIDENT HOME, INCORPORATED

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1995

Last certification

Feb 12, 2025

Beds

50

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 26, 1985 in WI

Enrollment address

1130 N Margaret St
Markesan, WI 53946-8516

Nursing home name

MARKESAN RESIDENT HOME

Listed as

Markesan Resident HomeCCN 525550 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5031.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Jared M. Kohlenberg, D.O.

  • Family Medicine Physician
  • Green Lake, WI
  • NPI 1548498298

  Corporate Officer

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared M. Kohlenberg, D.O.

  • Family Medicine Physician
  • Green Lake, WI
  • NPI 1548498298
  NPD (past)

Affiliated clinicians 1

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

• Jared M. Kohlenberg, D.O.

  • Family Medicine Physician
  • Green Lake, WI
  • NPI 1548498298

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1023015948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N MARGARET ST",
            "city": "MARKESAN",
            "state": "WI",
            "postal_code": "539468516",
            "telephone_number": "920-398-2751",
            "fax_number": "920-398-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N MARGARET ST",
            "city": "MARKESAN",
            "state": "WI",
            "postal_code": "539468516",
            "telephone_number": "920-398-2751",
            "fax_number": "920-398-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKESAN RESIDENT HOME INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "OWNBY",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-398-2751"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20120200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKESAN RESIDENT HOME, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wesley Jeff Elford, PT
• Ross Hazlewood, DO
• Jorge Andres Hernandez, DDS
• Sherri Mack, PTA
• Markesan District Schools
• Leesa Ann McShane, A.P.N.P.
• Charlotte Mertens, RN
• Paul A Miller, DDS
• Peggy Jean Post, COTA
• Nancy Lynn Schweder, R.N.

• Skilled Nursing Facility in Markesan, WI
• Providers in Markesan, 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 Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.