NPIMap

Organization Active NPI

Clement Manor, Inc.

  • Skilled Nursing Facility
  • Greenfield, WI
National Provider Identifier
1114923935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2724 Issued in WI
Legal business name
CLEMENT MANOR, INC.
Practice address
3939 S 92ND St
Greenfield, WI 53228-2140
Phone
(414) 321-1800
Fax
(414) 546-7357
NPI assigned
Jun 27, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis Ferger
Title
Administrator
Phone
(414) 546-7330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2724 WI Primary

Addresses

Primary practice location

3939 S 92ND St
Greenfield, WI 53228-2140

Mailing address

3939 S 92ND St
Greenfield, WI 53228-2140
Phone (414) 321-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000198 WI Part A Provider - Skilled Nursing Facility 7012934730 Practice locations: Greenfield, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114923935. Details of each certification follow.

Skilled nursing facility certification: CCN 525327

Legal name
CLEMENT MANOR, INC.
Doing business as
CLEMENT MANOR HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 3, 1982
Last certification
Dec 12, 2024
Beds
50
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Jan 15, 1963 in WI
Enrollment address
3939 S 92ND St
Greenfield, WI 53228-2140
Nursing home name
CLEMENT MANOR HEALTH CARE CENTER
Affiliated entity
FRANCISCAN SISTERS OF CHRISTIAN CHARITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Clement Manor Health Care CenterCCN 525327 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Nov 3, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5044.2 residents per day on average
Chain
Franciscan Sisters of Christian Charity3 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
52D0392099Clement Manor Health Center3939 S 92ND Street, Greenfield, WI 53228Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Judeen Schulte Individual Corporate OfficerDirector Secretary Nov 1, 2009
Philip Dougherty Individual Corporate Director Jan 1, 2015
Steve I Chang Individual Contracted Managing EmployeeMD; Sep 1, 2021
Franciscan Sisters of Christian Charity Sponsored Ministries Inc Organization, Manitowoc, WI Non-profit Operational/Managerial Control Apr 1, 2024
Dennis Ferger Individual Corporate OfficerCeo Jan 4, 2000 100%
W-2 Managing Employee Aug 20, 1984
John Heindel Individual Corporate OfficerDirector Financial Trustee Nov 15, 2021
Timothy E Loch Individual Contracted Managing EmployeeCorporate Cfo Apr 1, 2024
Carly Loewus Individual W-2 Managing EmployeeAd; May 18, 2020
Ann Maher Individual Corporate OfficerDirector Vice Chair Nov 15, 2020

Owners & managing parties with NPI records 1

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

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114923935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 S 92ND ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282140",
            "telephone_number": "414-321-1800",
            "fax_number": "414-546-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S 92ND ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282140",
            "telephone_number": "414-321-1800",
            "fax_number": "414-546-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENT MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-546-7330"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.