NPIMap

Organization Active NPI

Wisconsin Illinois Senior Housing Inc.

  • Skilled Nursing Facility
  • Edgerton, WI
National Provider Identifier
1063756286
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2235 Issued in WI
Legal business name
WISCONSIN ILLINOIS SENIOR HOUSING INC.
Practice address
313 Stoughton Rd
Edgerton, WI 53534-1132
Phone
(608) 884-1330
Fax
(608) 884-1331
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Stephanie Sherman
Title
Chief Operating Officer
Phone
(303) 980-0611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2235 WI Primary

Addresses

Primary practice location

313 Stoughton Rd
Edgerton, WI 53534-1132

Mailing address

313 Stoughton Rd
Edgerton, WI 53534-1132
Phone (608) 884-1330

Other names 1

  • Edgerton Care Center Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121205000215 WI Part A Provider - Skilled Nursing Facility 3577649797 Practice locations: Edgerton, WI

Skilled nursing facility certification: CCN 525241

Legal name
WISCONSIN ILLINOIS SENIOR HOUSING INC
Doing business as
EDGERTON CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 11, 1971
Last certification
Mar 31, 2025
Beds
61
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Wisconsin Illinois Senior Housing
Most recent change of ownership
Jun 6, 2013
Organization structure
CorporationNon-profit
Incorporated
Nov 21, 1994 in IL
Enrollment address
313 Stoughton Rd
Edgerton, WI 53534-1132
Nursing home name
EDGERTON CARE CENTER, INC
Affiliated entity
WISCONSIN ILLINOIS SENIOR HOUSING, INC.

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Edgerton Care Center, IncCCN 525241
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 11, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6150.1 residents per day on average
Chain
Wisconsin Illinois Senior Housing, Inc.7 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Fair Oaks Health Care Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Individual Adp of the SNF Jan 1, 2010
Rehab Solutions Group, LLC Organization, Kohler, WI Consulting firm Operational/Managerial Control Jan 1, 2024
Adp of the SNF Aug 18, 2025
Andrew C. Kerwin Individual Corporate DirectorChairman of Board Jun 1, 2009
Individual Adp of the SNF Jan 1, 2024
Partners in Wealth Management, Inc Organization, Naperville, IL Investment firm Operational/Managerial Control Jan 1, 2024
Adp of the SNF Aug 18, 2025
Carriage Healthcare Companies Inc Organization, Lakewood, CO Corporation, Management services company, For-profit Operational/Managerial Control Jan 1, 2013 100%
Adp of the SNF Mar 9, 2026
JT and Associates LLC Organization, Elm Grove, WI LLC Operational/Managerial Control Jan 1, 2010
Adp of the SNF Aug 18, 2025
Pinion, LLC Organization, Great Falls, MT LLC Operational/Managerial Control Jan 1, 1995
Adp of the SNF Aug 18, 2025
Individual Adp of the SNF Jan 1, 1995
Individual Adp of the SNF Jul 1, 2024
Individual Adp of the SNF Jan 1, 2024
Miriam Gehler Individual Corporate DirectorSecretary Mar 14, 2011
Individual Adp of the SNF Feb 1, 2026
Stephanie L Sherman Individual Operational/Managerial Control Aug 12, 2012
Adp of the SNF Aug 12, 2012
HBT It LLC Organization, Bridgeville, PA LLC Operational/Managerial Control Jul 1, 2024
Adp of the SNF Mar 9, 2026
Nicholas Lynn Individual Corporate DirectorBoard Member Mar 14, 2011
Rajeev Shiva Kumar Individual Corporate DirectorBoard Member Apr 24, 2012
Individual Adp of the SNF Jan 1, 1995
Individual Adp of the SNF Oct 10, 2022
Individual Adp of the SNF Jul 1, 2024

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Transitions at Home, Inc.Elkhorn, WI, CCN 527325 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 22, 2011
Transitions Home Health of Central WisconsinStevens Point, WI, CCN 527330 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 22, 2011
Transitions at Home of Western WiMount Horeb, WI, CCN 527341 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 4, 2020

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1063756286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 STOUGHTON RD",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341132",
            "telephone_number": "608-884-1330",
            "fax_number": "608-884-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 STOUGHTON RD",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341132",
            "telephone_number": "608-884-1330",
            "fax_number": "608-884-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN ILLINOIS SENIOR HOUSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "303-980-0611"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgerton Care Center Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Edgerton Care Center Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edgerton, WI

Sources for this page

Verify at the official NPI Registry.