E Wausau SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

E WAUSAU SNF OPCO LLC

Practice address

1010 E Wausau Ave
Wausau, WI 54403-3101

Phone

(715) 842-2028

Fax

(715) 254-9516

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Sam Follman

Title

Owner

Phone

(715) 842-2028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525405

Legal name

E WAUSAU SNF OPCO LLC

Doing business as

WATERFALL HEALTH OF WAUSAU

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1987

Last certification

Aug 1, 2024

Beds

80

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Jul 1, 2025

Organization structure

LLCProprietary

Incorporated

Jul 27, 2022 in WI

Enrollment address

1010 E Wausau Ave
Wausau, WI 54403-3101

Nursing home name

AMETHYST HEALTH OF WAUSAU

Listed as

Amethyst Health of WausauCCN 525405

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

For profit - Limited Liability company

Certified

Jan 1, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8031.8 residents per day on average

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

5Fines totaling $35,173

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 3

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

Affiliated clinicians 2

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

• Aleksandar V Rosich, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1972606028

  Nursing home

  Care Compare affiliation
• Michael A Umland, MD

  • Family Medicine Physician
  • Wausau, WI
  • NPI 1518920578

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1144948860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN STE 162",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E WAUSAU AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033101",
            "telephone_number": "715-842-2028",
            "fax_number": "715-254-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E WAUSAU SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "FOLLMAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-842-2028"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jace Daniel Duhon, MD
• Andrew Colin Duncanson, D.O.
• Diane Durante
• David K Durnick, M.D.
• Steven James Dziedzic, CSW
• Ea Sanders, OD LLC
• Joni Eberhardy
• Ec Laser and Surgery Institute of Wi, LLC
• Kristine Edahl, MA CCC
• David A Edmondson, DO

• All providers in Wausau, WI
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.