United Pioneer Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0450 Issued in WI

Legal business name

UNITED PIONEER HOME, INC

Practice address

623 S. Second St.
Luck, WI 54853-9066

Phone

(715) 472-2164

Fax

(715) 472-2180

NPI assigned

Sep 29, 2005

Last updated

Nov 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Archie Andress

Title

Nursing Home Administrator

Phone

(715) 472-2164

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124015789. Details of each certification follow.

• CCN 525680 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525680

Legal name

UNITED PIONEER HOME INC

Doing business as

OMNICARE OF CHIPPEWA FALLS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 2004

Last certification

Jul 10, 2024

Beds

50

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 2, 1965 in WI

Enrollment address

623 S 2ND St
Luck, WI 54853-9070

Nursing home name

UNITED PIONEER HOME

Listed as

United Pioneer HomeCCN 525680 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 1, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5044.0 residents per day on average

Penalties (3 years)

1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 3

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

• Roeschen's Healthcare LLC

  dba Omnicare of Milwaukee #48382

  • Long Term Care Pharmacy
  • Milwaukee, WI
  • NPI 1497851588

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Roeschen's Healthcare LLC

  dba Omnicare of Chippewa Falls

  • Long Term Care Pharmacy
  • Chippewa Falls, WI
  • NPI 1558554154

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• William G. Schultz Jr., M.D.

  • Family Medicine Physician
  • Saint Croix Falls, WI
  • NPI 1730178302

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin E McCreary, PTA

  • Geriatric Physical Therapist
  • Luck, WI
  • NPI 1346533007
  NPD (past)
• Jeanine Schaar, MA, CCC-SLP

  • Speech-Language Pathologist
  • Luck, WI
  • NPI 1326382797
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tara Leigh Johnson, NP

  • Nurse Practitioner
  • Saint Croix Falls, WI
  • NPI 1588387500

  Nursing home

  Care Compare affiliation
• William G. Schultz Jr., M.D.

  • Family Medicine Physician
  • Saint Croix Falls, WI
  • NPI 1730178302

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1124015789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S. SECOND ST.",
            "city": "LUCK",
            "state": "WI",
            "postal_code": "548539066",
            "telephone_number": "715-472-2164",
            "fax_number": "715-472-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S. SECOND ST.",
            "city": "LUCK",
            "state": "WI",
            "postal_code": "548539066",
            "telephone_number": "715-472-2164",
            "fax_number": "715-472-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PIONEER HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "ANDRESS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ARCHIE",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "715-472-2164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "0450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dann R Rowe, DDS
• Jeanine Schaar, MA, CCC-SLP
• School District of Luck
• Michelle Amanda Shalander, RDH
• The Physical Therapy Center, SC

• Skilled Nursing Facility in Luck, WI
• Providers in Luck, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.