Organization Active NPI

Saint John's Communities, Inc.

  • Skilled Nursing Facility
  • Milwaukee, WI
National Provider Identifier
1295866325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2611 Issued in WI
Legal business name
SAINT JOHN'S COMMUNITIES, INC.
Practice address
1840 N Prospect Ave
Milwaukee, WI 53202-1975
Phone
(414) 272-2022
Fax
(414) 831-6760
NPI assigned
Mar 8, 2007
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
Renee Elizabeth Anderson
Title
Vice President
Phone
(414) 831-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2611 WI Primary

Addresses

Primary practice location

1840 N Prospect Ave
Milwaukee, WI 53202-1975

Mailing address

1840 N Prospect Ave
Milwaukee, WI 53202-1975
Phone (414) 272-2022

Other identifiers 1

IdentifierTypeStateIssuer
20129300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000336 WI Part A Provider - Skilled Nursing Facility 7113917543 Practice locations: Milwaukee, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295866325. Details of each certification follow.

Skilled nursing facility certification: CCN 525539

Legal name
SAINT JOHN'S COMMUNITIES, INC.
Doing business as
SAINT JOHNS ON THE LAKE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1994
Last certification
Apr 24, 2024
Beds
27
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1941 in WI
Enrollment address
1840N Prospect Ave
Milwaukee, WI 53202-1975
Nursing home name
SAINT JOHNS ON THE LAKE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Saint Johns on the LakeCCN 525539 · 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 - Church related
Certified
Jul 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2722.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Saint Johns Communities Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 44

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

NameRoleSinceShare
Renee Anderson Individual Corporate OfficerPresident & Ceo Jul 1, 2011 100%
Adp of the SNF Jul 1, 2011
Antonio Henderson Individual Adp of the SNF Jun 22, 2020
William Fry Individual Adp of the SNF May 1, 2024
Lakeshia Exum-Pryor Individual Adp of the SNF Jul 23, 2018
Dan Lemminger Individual Corporate OfficerVice President & Cfo Oct 3, 2011
Adp of the SNF Oct 3, 2011
Matthew Loyd Individual Operational/Managerial Control Jan 16, 2021
Adp of the SNF Jan 18, 2021
Erin Burke Individual Adp of the SNF Nov 4, 2019
Rachel a Saltness Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Kare Technologies LLC Organization, Houston, TX Medical staffing company Adp of the SNF Jan 1, 2023
Hometown Hospice & Homecare Inc Organization, Oak Creek, WI Medical provider/supplier Adp of the SNF Sep 17, 2014
Hearing Care at Home LLC Organization, Glendale, WI Medical provider/supplier Adp of the SNF Dec 8, 2022
Brighton Hospice Wisconsin LLC Organization, Sandy, UT Medical provider/supplier Adp of the SNF Aug 7, 2023
Matthew Gunter Individual Adp of the SNF Jun 1, 2024
The Medical College of Wisconsin Inc Organization, Milwaukee, WI Operational/Managerial Control Oct 1, 2024
Adp of the SNF Jun 23, 2025
Integrated Therapy Managment Partners, LLC Organization, Rosemont, IL LLC, Consulting firm Adp of the SNF Feb 1, 2024
Cassandra Anderson Individual Adp of the SNF Mar 14, 2022
Davis Clinical Consulting Organization, Beloit, WI LLC, Consulting firm Adp of the SNF Dec 30, 2024
Dorothy S Petitt Individual Operational/Managerial Control Oct 18, 2021
Adp of the SNF Oct 18, 2021
Matthew Scott Coburn Individual Adp of the SNF May 1, 2021
Kirsten Hildebrand Individual Adp of the SNF May 1, 2023
Melissa Geszvain Individual Adp of the SNF Sep 3, 2019
Dietitians on Demand Corporate Solutions, LLC Organization, Richmond, VA Medical staffing company Adp of the SNF Jan 31, 2022
Polly W Beal Individual Adp of the SNF May 2, 2014
Community Foot and Ankle Clinic Inc Organization, Milwaukee, WI Medical provider/supplier Adp of the SNF Feb 26, 2019
Guardian Pharmacy of Madison, LLC Organization, West Allis, WI Medical provider/supplier Adp of the SNF Aug 1, 2023
Helene Butler Individual Adp of the SNF May 24, 1999
Madison Medical Affiliates Inc Organization, Mequon, WI Medical provider/supplier Adp of the SNF Dec 5, 2013
Betty Arndt Individual Adp of the SNF May 1, 2022
Daniel Patrinos Individual Adp of the SNF May 1, 2023
Judith Moon Individual Adp of the SNF May 2, 2015
Cazmer Whiteside Individual Adp of the SNF May 13, 2024
Legacy Hospice Cares LLC Organization, Elm Grove, WI LLC, Medical provider/supplier Adp of the SNF Apr 13, 2022
Preferred Dentistry Associates, LLC Organization, Evanston, IL Medical provider/supplier Adp of the SNF Jul 1, 2024
Saint John's Communities, Inc. Organization, Milwaukee, WI Corporation, Non-profit Operational/Managerial Control Jul 1, 1994
Adp of the SNF Jul 1, 1994
Direct Ownership Interest Jul 1, 1994 100%
Diane Beckley Milner Individual Adp of the SNF May 1, 2018
David E Eager Individual Adp of the SNF May 1, 2023
Alan Kelnhofer Individual Adp of the SNF Jan 12, 2025
Kathy Armbruster Individual Adp of the SNF Oct 1, 2016
Richard Schreiner Individual Adp of the SNF May 1, 2024
Anne Luther Individual Adp of the SNF Aug 29, 2007
Behavioral Solutions Inc Organization, Milwaukee, WI Medical provider/supplier Adp of the SNF Oct 1, 2024
US Bank National Association Organization, Minneapolis, MN 5% Or Greater Mortgage Interest Dec 9, 2015 46.4%
Lee Coppernoll Individual Adp of the SNF May 1, 2018
Omar Mass Individual Adp of the SNF Feb 14, 2022

Owners & managing parties with NPI records 11

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295866325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021975",
            "telephone_number": "414-272-2022",
            "fax_number": "414-831-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021975",
            "telephone_number": "414-272-2022",
            "fax_number": "414-831-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOHN'S COMMUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "414-831-6880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20129300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.