Middleton Village Nursing and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MIDDLETON VILLAGE NURSING AND REHAB LLC

Doing business as

Middleton Village Nursing and Rehab

Practice address

6201 Elmwood Ave
Middleton, WI 53562-3319

Phone

(608) 831-8300

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By 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

Jacob Jeidel

Title

Manager

Phone

(917) 750-5089

Specialties & licenses 1

Addresses

Other names 1

• Middleton Village Nursing and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144937392. Details of each certification follow.

• CCN 525330 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525330

Legal name

MIDDLETON VILLAGE NURSING AND REHAB LLC

Doing business as

MIDDLETON VILLAGE NURSING AND REHAB LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 3, 1982

Last certification

Oct 28, 2024

Beds

97

Ownership / control type

Individual

Multi-facility organization

EOM Healthcare

Organization structure

LLCProprietary

Incorporated

Oct 20, 2022 in WI

Enrollment address

6201 Elmwood Ave
Middleton, WI 53562-3319

Nursing home name

MIDDLETON VILLAGE NURSING AND REHAB

Affiliated entity

SHLOMO HOFFMAN

Listed as

Middleton Village Nursing and RehabCCN 525330 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Dec 3, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9772.8 residents per day on average

Chain

Shlomo Hoffman10 facilities in the chain

Penalties (3 years)

3Fines totaling $67,772

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 4

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

Affiliated clinicians 1

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

• Maria Graziella Cruz-Apolinario, MD

  • Emergency Medicine Physician
  • Berlin, WI
  • NPI 1215926795

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1144937392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20876 SONRISA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331745",
            "telephone_number": "917-750-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 ELMWOOD AVE",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623319",
            "telephone_number": "608-831-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETON VILLAGE NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "JEIDEL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-750-5089"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middleton Village Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Middleton Osl Operating LLC
• Middleton-Cross Plains Area School District
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• Benjamin Michael Mikla, D.C.
• Lindsay Kristine Miles

• Skilled Nursing Facility in Middleton, WI
• Providers in Middleton, 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 Oct 27, 2022; 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.