NPIMap

Organization Active NPI

Winneshiek Medical Center

  • Home Health Agency
  • Decorah, IA
National Provider Identifier
1467500876
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
960127H Issued in IA
Legal business name
WINNESHIEK MEDICAL CENTER
Practice address
901 Montgomery St
Decorah, IA 52101-2325
Phone
(563) 382-2911
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Steven Slessor
Title
Cao
Phone
(563) 387-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 960127H IA Primary

Addresses

Primary practice location

901 Montgomery St
Decorah, IA 52101-2325

Mailing address

901 Montgomery St
Decorah, IA 52101-2325

Other identifiers 1

IdentifierTypeStateIssuer
0671909MedicaidIA

Other names 1

  • WinnMed Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090423000547 IA Part A Provider - Home Health Agency 4688582935 Practice locations: Decorah, IA

Home health agency certification: CCN 167190

Legal name
WINNESHIEK MEDICAL CENTER
Doing business as
WINNMED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 1987
Last certification
Aug 10, 2019
Ownership / control type
Non-Profit
Organization structure
OtherNon-profit
Enrollment address
901 Montgomery St
Ste D
Decorah, IA 52101-2364

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Winnmed Home HealthCCN 167190
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Aug 27, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Bill Tisue Crna11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Benjamin W Stevens Individual Corporate OfficerCfo Feb 28, 2022
W-2 Managing EmployeeCfo Feb 28, 2022
Nancy a Haberichter Individual Corporate DirectorClinical Director Feb 6, 2012
Britt Rhodes Individual Corporate DirectorBoard Member Jan 1, 2023
Janice Heikes Individual Corporate DirectorBoard Member Jan 1, 2023
Mark Jensen Individual Corporate DirectorBoard Member Jan 1, 2023
Rebekah N Krueger Individual Corporate OfficerBoard Member Oct 2, 2024
Clark Goltz Individual Corporate DirectorChairperson Jan 1, 2008
Justin Gullekson Individual Corporate DirectorSecretary/Treasurer May 4, 2022
David C Rooney Individual Corporate DirectorCoo Sep 3, 2024
Steven R Slessor Individual Corporate OfficerCao Jun 15, 2021
Karen Palmer McLean Individual Corporate DirectorVice Chairperson Jan 2, 2019

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 99

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1467500876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNESHIEK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SLESSOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "563-387-3145"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "960127H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671909",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WinnMed Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decorah, IA

Sources for this page

Verify at the official NPI Registry.