Alden-Meadow Park Health Care Center, Inc.
Organization Active NPI Skilled Nursing Facility · Clinton, WI
NPI 1083601405 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1083601405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 3100 (WI)
- Legal business name
- ALDEN-MEADOW PARK HEALTH CARE CENTER, INC.
- Practice address
- 709 Meadow Park Dr
Clinton, WI 53525-9777 - Phone
- (608) 676-2202
- Fax
- (608) 676-4989
- NPI assigned
- Sep 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Floyd A Schlossberg
- Title
- President
- Phone
- (773) 286-6622
Facilities with the same owner 28
Affiliated clinicians 1
-
Christel Tecarro, MD.
Medicare Care Compare: Nursing home
- Listed as
- Alden Meadow Park HCC
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1993
- Medicare certification status
- Active
- Certified beds
- 94 · 60.7 residents per day on average
- Chain
- The Alden Network
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0665174 | Alden-Meadow Park Health Care Center, Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Skilled nursing facility certification: CCN 525508
- Legal name
- ALDEN-MEADOW PARK HEALTH CARE CENTER, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1993
- Last certification
- Jan 30, 2025
- Beds
- 94
- Ownership / control type
- Corporation
- Multi-facility organization
- Alden Management Facility
- Organization structure
- Corporation · Proprietary
- Incorporated
- May 8, 2000 in WI
- Enrollment address
- 709 Meadow Park Dr
Clinton, WI 53525-9777 - Nursing home name
- ALDEN MEADOW PARK HCC
- Affiliated entity
- THE ALDEN NETWORK
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Arin G Elisco |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Garrett E Magnusson |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Joan P Carl |
Corporate Officer | May 1, 2010 | |
| Corporate Director |
May 1, 2010 | ||
| Alden Management Services, Inc. |
Operational/Managerial Control | May 3, 2000 | |
| Esther J Davis |
Operational/Managerial Control |
Mar 15, 2010 | |
| Joseph Schullo |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Robert J Molitor |
Operational/Managerial Control |
Jun 16, 2008 | |
| The Alden Group, LTD. |
5% Or Greater Direct Ownership Interest | Jul 1, 2008 | 100% |
| Paige a Magnusson |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Nicole Schullo |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| The Floyd a. Schlossberg Living Trust |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 100% |
| Audra B Elisco |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 20.77% |
| Lauren H Magnusson |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 20.77% |
| Randi Schullo |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 20.77% |
| Corporate Officer |
Feb 16, 2010 | ||
| Annette G Akerman |
W-2 Managing Employee |
Oct 6, 2016 | |
| Charles L Elisco |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 6.26% |
| Paul C Michalsen |
W-2 Managing Employee |
Feb 4, 2022 | 100% |
| Floyd a Schlossberg |
5% Or Greater Indirect Ownership Interest | Jul 1, 2013 | 100% |
| Corporate Officer | May 10, 2010 | ||
| Corporate Director |
May 10, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111130000096 | WI | Part a Provider - Skilled Nursing Facility | 6709050875 | Practice locations: Clinton, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3100 | WI | Yes |
Addresses
Primary practice location
709 Meadow Park Dr
Clinton, WI 53525-9777
Mailing address
4200 W Peterson Ave
Suite 140
Chicago, IL 60646-6074
Phone (773) 286-6622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20188700 | Medicaid | WI | |
| 39199 | Other | WI | BLUE CROSS |
Other providers in Clinton, WI
- Betsy Ruth Ahrens
- Aurora Pharmacy Inc
- Beloit Cliniic, S.C.
- Beloit Health System, Inc
- Christine K Bestor
- Clinton Chiropractic Clinic SC
All providers in Clinton, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.