Active NPI
Senior Management Inc
Doing business as Care and Rehab - Ladysmith 2
- Skilled Nursing Facility
- Ladysmith, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SENIOR MANAGEMENT INC
- Doing business as
- Care and Rehab - Ladysmith 2
- Practice address
- 1001 E 11TH St N
Ladysmith, WI 54848-1455 - Phone
- (715) 532-5546
- Fax
- (715) 532-5498
- NPI assigned
- Oct 13, 2021
- Last updated
- Dec 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grant D Thayer
- Title
- President
- Phone
- (507) 269-6815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1001 E 11TH St N
Ladysmith, WI 54848-1455
Mailing address
1001 E 11TH St N
Ladysmith, WI 54848-1455
Phone (715) 532-5546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100189623 | Medicaid | WI |
Other names 1
- Care and Rehab - Ladysmith 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211111001887 | WI | Part A Provider - Skilled Nursing Facility | 9133101504 | Practice locations: Ladysmith, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184386484. Details of each certification follow.
Skilled nursing facility certification: CCN 525710
- Legal name
- SENIOR MANAGEMENT INC
- Doing business as
- CARE AND REHAB - LADYSMITH 2
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 5, 2013
- Last certification
- Mar 6, 2025
- Beds
- 30
- Ownership / control type
- Corporation
- Multi-facility organization
- Senior Management Inc
- Organization structure
- Corporation
- Incorporated
- May 20, 2004 in MN
- Enrollment address
- 1001 E 11TH St N
Ladysmith, WI 54848 - Nursing home name
- CARE & REHAB - LADYSMITH 2
- Affiliated entity
- CARE & REHAB
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Barron Care and Rehabilitation
- Skilled Nursing Facility
- Barron, WI
- NPI 1003000514
9133101504
-
dba Care and Rehab - Boscobel
- Skilled Nursing Facility
- Boscobel, WI
- NPI 1518289586
9133101504
-
dba Care and Rehab - Ladysmith 1
- Skilled Nursing Facility
- Ladysmith, WI
- NPI 1770245078
9133101504
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Care & Rehab - Ladysmith 2
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 5, 2013
- Medicare certification status
- Active
- Certified beds
- 30
- Chain
- Care & Rehab
National Provider Directory
National Provider Directory- Tax ID family
- Senior Management Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Barron, WI
- NPI 1154320802
-
dba Barron Care and Rehabilitation
- Skilled Nursing Facility
- Barron, WI
- NPI 1003000514
-
dba Care and Rehab - Boscobel
- Skilled Nursing Facility
- Boscobel, WI
- NPI 1518289586
-
dba Care and Rehab - Ladysmith 1
- Skilled Nursing Facility
- Ladysmith, WI
- NPI 1770245078
-
dba Care & Rehab-Pine Crest
- Skilled Nursing Facility
- Merrill, WI
- NPI 1952167561
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rachel Hautamaki | Operational/Managerial Control | Dec 8, 2021 | |
| Adp of the SNF | Dec 8, 2021 | ||
| Adp of the SNF | Jan 27, 2025 | ||
| Adp of the SNF | Mar 10, 2025 | ||
| Adp of the SNF | Jan 27, 2025 | ||
| Adp of the SNF | Mar 20, 2025 | ||
| Adp of the SNF | Jan 27, 2025 | ||
| Adp of the SNF | Dec 8, 2021 | ||
| Adp of the SNF | Jan 31, 2025 | ||
| Annmarie Novak | Operational/Managerial Control | Dec 8, 2021 | |
| Adp of the SNF | Dec 8, 2021 | ||
| Adp of the SNF | Mar 5, 2025 | ||
| Jessica Bechtel | Operational/Managerial Control | Mar 10, 2025 | |
| Adp of the SNF | Mar 10, 2025 | ||
| Adp of the SNF | May 2, 2022 | ||
| Adp of the SNF | Mar 5, 2025 | ||
| Timothy J Sadowska | Operational/Managerial Control | Dec 8, 2021 | |
| Adp of the SNF | Dec 8, 2021 | ||
| Adp of the SNF | Mar 5, 2025 | ||
| Grant D Thayer | 5% Or Greater Direct Ownership Interest | Dec 8, 2021 | 100% |
| Corporate Officer | Dec 8, 2021 | 100% | |
| Operational/Managerial Control | Dec 8, 2021 | ||
| Adp of the SNF | Dec 8, 2021 | ||
| Ladysmith Campus LLC | Adp of the SNF | Dec 8, 2021 | |
| Katherine S Winiarczyk | Operational/Managerial Control | Dec 8, 2021 | |
| Adp of the SNF | Dec 8, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Ladysmith, WI
- NPI 1841670726
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Care and Rehab | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2023 Mar 19, 2025 |
| Care and Rehab - Cumberland | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2023 Jan 27, 2025 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Care & Rehab - Cumberland
- Skilled Nursing Facility
- Cumberland, WI
- NPI 1306397625
Adp of the SNF, Operational/Managerial Control
-
dba Ostrander Care and Rehab
- Skilled Nursing Facility
- Ostrander, MN
- NPI 1225106537
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Ladysmith, WI
- NPI 1841670726
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1184386484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E 11TH ST N",
"city": "LADYSMITH",
"state": "WI",
"postal_code": "548481455",
"telephone_number": "715-532-5546",
"fax_number": "715-532-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E 11TH ST N",
"city": "LADYSMITH",
"state": "WI",
"postal_code": "548481455",
"telephone_number": "715-532-5546",
"fax_number": "715-532-5498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR MANAGEMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-13",
"last_updated": "2024-12-17",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "THAYER",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-269-6815"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100189623",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care and Rehab - Ladysmith 2",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ladysmith, WI
- Moshe Schein, M.D.
- Anthony Leo Schotzko, PT, DPT
- Rhonda Seifert, RD
- Mitchell Selvig, PTA
- Senior Management Inc
- Senior Management Inc (Care and Rehab - Ladysmith 1)
- Shopko Stores Operating Co LLC (Shopko Pharmacy 511)
- Danielle Ranee Soltis, APNP
- Heidi Jo Sovacool, OTR
- Speech Therapy Associates of Northwest Wisconsin, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.