Organization Active NPI

New Glarus Home, Inc

  • Skilled Nursing Facility
  • New Glarus, WI
National Provider Identifier
1376530592
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2605 Issued in WI
Legal business name
NEW GLARUS HOME, INC
Practice address
600 2ND Ave
New Glarus, WI 53574-9776
Phone
(608) 527-2126
Fax
(608) 527-5365
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Mr. David Wickline
Title
Authorized Official
Phone
(608) 527-2126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2605 WI Primary

Addresses

Primary practice location

600 2ND Ave
New Glarus, WI 53574-9776

Mailing address

600 2ND Ave
New Glarus, WI 53574-9776
Phone (608) 527-2126

Other identifiers 1

IdentifierTypeStateIssuer
20104200MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000257 WI Part A Provider - Skilled Nursing Facility 1153596556 Practice locations: New Glarus, WI

Skilled nursing facility certification: CCN 525630

Legal name
NEW GLARUS HOME, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1997
Last certification
Dec 5, 2024
Beds
100
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Jan 6, 1966 in WI
Enrollment address
600 2ND Ave
New Glarus, WI 53574-9776
Nursing home name
NEW GLARUS HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
New Glarus HomeCCN 525630
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jul 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10095.3 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $85,311

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0393083New Glarus Home600 2ND Ave, New Glarus, WI 53574Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Matt Streiff Individual Corporate DirectorExecutive Director Jan 4, 2023
Operational/Managerial Control Jan 4, 2023
Adp of the SNF Jan 4, 2023
Joan Moen Individual Corporate DirectorTreasurer, Executive Committee Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Omnicare Organization, Cincinnati, OH Corporation Operational/Managerial Control Jun 5, 2025
Adp of the SNF Apr 1, 2025
GL Rehab Organization, Madison, WI Corporation Adp of the SNF Jan 4, 2023
Individual Adp of the SNF Mar 24, 2025
Wipfli LLP Organization, Wausau, WI Corporation Adp of the SNF Jan 4, 2023
Christine Kirsz Individual Corporate Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Joann Shepherd Individual Corporate DirectorNursing Home Administrator Nov 1, 2024
Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Mary Funseth Individual Corporate Director Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Organization, Madison, WI LLC Adp of the SNF Apr 7, 2025
Organization, South Jordan, UT Corporation Adp of the SNF Feb 1, 2024
Mark Douma Individual Corporate Director Jul 1, 2024
Operational/Managerial Control Jul 1, 2023
Janis Roesslein Individual Corporate Director Jul 1, 2023
Operational/Managerial Control Jul 1, 2023
Karl Lueschow Individual Corporate Director Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Jill Klossner Individual Corporate Director Jul 1, 2023
Operational/Managerial Control Jul 1, 2023
David Cunningham Individual Corporate Director Jun 1, 2023
Operational/Managerial Control Jul 1, 2024
David Wickline Individual Corporate DirectorChairman of the Board Jun 1, 2023
Operational/Managerial Control Jul 1, 2022
Patrick Meier Individual Corporate DirectorBoard of Directors Jul 1, 2014
Operational/Managerial Control Jan 4, 2023
David L Rebedew Individual Corporate DirectorMedical Director Jun 1, 2019
Operational/Managerial Control Jun 1, 2019
Adp of the SNF Jan 4, 2023

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1376530592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 2ND AVE",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749776",
            "telephone_number": "608-527-2126",
            "fax_number": "608-527-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 2ND AVE",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749776",
            "telephone_number": "608-527-2126",
            "fax_number": "608-527-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GLARUS HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "WICKLINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "608-527-2126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20104200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Glarus, WI

Sources for this page

Verify at the official NPI Registry.