NPIMap

Organization Active NPI

Door County Memorial Hospital

Doing business as Pete and Jelaine Horton Center

  • Skilled Nursing Facility
  • Sturgeon Bay, WI
National Provider Identifier
1083718399
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DOOR COUNTY MEMORIAL HOSPITAL
Doing business as
Pete and Jelaine Horton Center
Practice address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone
(920) 743-5566
NPI assigned
Sep 8, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Mr. Andrew S Laluzerne
Title
Cfo
Phone
(920) 746-3729

Specialties & licenses 1

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

Addresses

Primary practice location

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401

Mailing address

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566

Other names 1

  • Pete and Jelaine Horton Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000197 WI Part A Provider - Skilled Nursing Facility 5395735088 Practice locations: Sturgeon Bay, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083718399. Details of each certification follow.

Skilled nursing facility certification: CCN 525377

Legal name
DOOR COUNTY MEMORIAL HOSPITAL
Doing business as
PETE AND JELAINE HORTON CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1984
Last certification
Feb 19, 2025
Beds
32
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Nursing home name
DOOR COUNTY MEMORIAL HOSPITAL SNF

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Door County Memorial Hospital SNFCCN 525377 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3230.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Door County Memorial Hosp15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Edgar K Collison Individual Corporate DirectorBoard Member May 14, 2025
Operational/Managerial Control May 14, 2025
Adp of the SNF May 14, 2025
Organization, Saint Charles, MO Corporation, Consulting firm, For-profit Adp of the SNF Feb 14, 2025
Patricia M Vickman Individual Corporate DirectorBoard Member Oct 1, 2017
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017
Pauline M Helm Individual Corporate DirectorBoard Member Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Organization, Mobile, AL Corporation, Medical provider/supplier, For-profit Adp of the SNF Jan 30, 2025
Andrew S Laluzerne Individual Corporate OfficerCfo Oct 29, 2018
Operational/Managerial Control Oct 29, 2018
Adp of the SNF Oct 29, 2018
Organization, Neenah, WI Corporation, Medical provider/supplier Adp of the SNF Feb 14, 2025
Joseph Joshua Rebhan Individual Corporate Director Jan 1, 2026
Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Martha S Ziegelbauer Individual Corporate DirectorBoard Member Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Michael R St Jean Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jamie D Alberts Individual Corporate DirectorBoard Member Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Caroline M Urban Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Tammy a Sternard Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Joel C Kitchens Individual Corporate DirectorBoard Member Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Nancy Z Bohrman Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Organization, Green Bay, WI Corporation, Non-profit Operational/Managerial Control Oct 28, 2016
Adp of the SNF Feb 14, 2025
Erin Rae Helgeson Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Dorene E Dempster Individual Corporate DirectorBoard Member Jan 1, 2019
Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jan 1, 2019
Bradley S Andreae Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Jeffrey J Rabas Individual Corporate DirectorBoard Member Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Jonathan L Jarosh Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Maria Chona S Antonio Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Robert Erickson Individual Corporate DirectorBoard Member May 15, 2024
Operational/Managerial Control May 15, 2024
Adp of the SNF May 15, 2024
Brian C Stephens Individual Corporate OfficerCeo Jan 6, 2019 100%
Operational/Managerial ControlCeo Jan 6, 2019
Adp of the SNF Jan 6, 2019
Corwin D Dahl Individual Corporate DirectorBoard Member Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Andrew Richmond Individual Corporate DirectorBoard Member Oct 1, 2017
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017

Owners & managing parties with NPI records 20

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

View all 20

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1083718399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351401",
            "telephone_number": "920-743-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351401",
            "telephone_number": "920-743-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOOR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "LALUZERNE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-746-3729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pete and Jelaine Horton Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.