Organization Active NPI

Orion Tomah LLC

Doing business as Tomah Healthcare Center

  • Skilled Nursing Facility
  • Tomah, WI
National Provider Identifier
1083892186
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2825 Issued in WI
Legal business name
ORION TOMAH LLC
Doing business as
Tomah Healthcare Center
Tomah Nursing and Rehabilitation
Practice address
1505 Butts Ave
Tomah, WI 54660-2405
Phone
(608) 372-3241
NPI assigned
Jan 31, 2008
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Jennifer Davis
Title
Attorney
Phone
(502) 552-4873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2825 WI Primary

Addresses

Primary practice location

1505 Butts Ave
Tomah, WI 54660-2405

Mailing address

2550 Corporate Exchange Dr Ste 200
Columbus, OH 43231-1660
Phone (614) 416-0600

Other identifiers 2

IdentifierTypeStateIssuer
1083892186MedicaidWI
621810991030OtherWIBCBS PROVIDER CODE

Other names 2

  • Tomah Healthcare Center Doing business as
  • Tomah Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000484 WI Part A Provider - Skilled Nursing Facility 7012006109 1 other NPI on this enrollment
Practice locations: Tomah, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083892186. Details of each certification follow.

Skilled nursing facility certification: CCN 525442

Legal name
ORION TOMAH LLC
Doing business as
TOMAH NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1989
Last certification
Aug 29, 2024
Beds
74
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Atrium Living Centers
Organization structure
LLCProprietary
Incorporated
Aug 21, 2007 in DE
Enrollment address
1505 Butts Ave
Tomah, WI 54660-2405
Nursing home name
TOMAH NURSING AND REHAB
Affiliated entity
ATRIUM CENTERS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tomah Nursing and RehabCCN 525442 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7448.7 residents per day on average
Chain
Atrium Centers26 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0396473Tomah Nursing and Rehabilitation Center1505 Butts Ave, Tomah, WI 54660Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2550 Corporate Exchange Dr
Ste 200
Columbus, OH 43231

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Essel W Bailey Individual Corporate OfficerChairman of the Board Aug 3, 2003
Amicus Capital Holdings Inc Organization, Columbus, OH Created for acquisition, Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Brandi Shea Individual W-2 Managing EmployeeAdministrator Mar 9, 2022
Michael Rocca Individual Corporate OfficerController/Secretary Jun 14, 2021
Susan Albright Ross Individual Corporate OfficerChief Operating Officer Dec 24, 2017
Donald D Finney Individual Corporate OfficerPresident Aug 3, 2003
Orion Operating Services LLC Organization, Columbus, OH Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Dec 1, 2007 100%
Dennis a Lockhart Individual Corporate DirectorDir Operational Accounting Aug 3, 2003
Atrium Centers Management LLC Organization, Columbus, OH For-profit Operational/Managerial Control Oct 1, 2007
Atrium Centers, LLC Organization, Columbus, OH For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2007 100%

Facilities with the same owner 25

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

View all 25

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1083892186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 CORPORATE EXCHANGE DR STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432311660",
            "telephone_number": "614-416-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BUTTS AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602405",
            "telephone_number": "608-372-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORION TOMAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "502-552-4873"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083892186",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER CODE",
            "identifier": "621810991030",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomah Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tomah Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomah, WI

Sources for this page

Verify at the official NPI Registry.