Christian Community Home of Osceola, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC.

Doing business as

Christian Community Home of Osceola, Inc.

Practice address

2650 65TH Ave
Osceola, WI 54020

Phone

(715) 386-9303

NPI assigned

Sep 27, 2011

Organization subpart

Yes

Parent organization

CHRISTIAN COMMUNITY HOMES AND SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Pamela Jean Klingfus

Title

Ceo

Phone

(715) 381-4210

Specialties & licenses 2

Addresses

Other names 1

• CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023391877. Details of each certification follow.

• CCN 525706 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525706

Legal name

CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC.

Doing business as

CHRISTIAN COMMUNITY HOME OF OSCEOLA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 9, 2012

Last certification

May 7, 2025

Beds

40

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Incorporated

Aug 14, 2009 in WI

Enrollment address

2650 65TH Ave
Osceola, WI 54020-4370

Nursing home name

CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC

Listed as

Christian Community Home of Osceola, IncCCN 525706 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Feb 9, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4037.0 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 19

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.

• Rene Brian Milner, M.D.

  • Family Medicine Physician
  • Saint Croix Falls, WI
  • NPI 1134149503

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• Christian Community Home of Hudson, Inc

  dba Christian Community Home

  • Skilled Nursing Facility
  • Hudson, WI
  • NPI 1568459840

  Christian Community Homes and Services Inc

  CMS ownership

Affiliated clinicians 2

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

• Angela Marie Fjerstad, PA

  • Physician Assistant
  • Osceola, WI
  • NPI 1578728978

  Nursing home

  Care Compare affiliation
• Rene Brian Milner, M.D.

  • Family Medicine Physician
  • Saint Croix Falls, WI
  • NPI 1134149503

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1023391877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WISCONSIN ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161861",
            "telephone_number": "715-386-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 65TH AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "715-386-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN COMMUNITY HOMES AND SERVICES, INC.",
        "enumeration_date": "2011-09-27",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "KLINGFUS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-381-4210"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Anne Belisle
• Carter Bradley Berg, DO
• Kathy L Braaten, PT, DPT
• Jacob Paul Brown
• Brianna Brunclik
• Allana B Clymer, RN
• Joseph John Clymer, LCSW
• Dakota Cole, DPT
• Natalia Cropper, FNP-C
• Nathan Delovely, ATC

• Skilled Nursing Facility in Osceola, WI
• Providers in Osceola, 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 20, 2023; 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.