Clark County
Organization Active NPI Skilled Nursing Facility · Owen, WI
NPI 1497812697 · NPPES record last updated Sep 28, 2011
Key facts
- NPI
- 1497812697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2387 (WI)
- Legal business name
- CLARK COUNTY
- Practice address
- W4266 State Rd. 29
Owen, WI 54460 - Phone
- (715) 229-2172
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Jane Schmitz
- Title
- Administrator
- Phone
- (715) 229-2172
Owners & managing parties with NPI records 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Practitioners 13
-
Andrea Michelle Anderson, MSW, LCSW
-
Erin Kaye Drawz, LPC
-
Kathryn D Kinter, LPC
-
Joel Rooney, PSY D
-
Stephanie Anna Simonson, MSW, LCSW
-
Jacqueline J Baures, LPC
-
Alison E Heintz, MSAT
-
Jody Erica Kroening, RN/DNP PMHNP-BC
-
Jennifer S Saul, MD
Affiliated clinicians 3
-
Farid A Ahmad, MD
-
Johnathon David Justice, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Clark County Rehabilitation & Living Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jan 1, 1987
- Medicare certification status
- Active
- Certified beds
- 172 · 138.3 residents per day on average
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Skilled nursing facility certification: CCN 525403
- Legal name
- CLARK COUNTY
- Doing business as
- WOODLAND ENHANCED HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1987
- Last certification
- Aug 15, 2024
- Beds
- 172
- Ownership / control type
- County
- Organization structure
- Government · Non-profit
- Incorporated
- Jul 1, 1922 in WI
- Enrollment address
- W4266 County Highway X
Owen, WI 54460 - Nursing home name
- CLARK COUNTY REHABILITATION & LIVING CENTER
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Clark County |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Jane Schmitz |
Corporate Officer |
Feb 1, 2003 | 100% |
| W-2 Managing Employee |
Feb 1, 2003 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111017000667 | WI | Part a Provider - Skilled Nursing Facility | 3476464843 | Practice locations: Owen, WI |
National Provider Directory
- Tax ID family
- Clark County Health Dep
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | |||
| Physical Therapist |
225100000X | |||
| Skilled Nursing Facility | 314000000X | 2387 | WI | Yes |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 3014 | WI |
Addresses
Primary practice location
W4266 State Rd. 29
Owen, WI 54460
Mailing address
W4266 State Rd. 29
Owen, WI 54460
Phone (715) 229-2172
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21052400 | Medicaid | WI | |
| 41011500 | Medicaid | WI | |
| 40415200 | Medicaid | WI | |
| 20150100 | Medicaid | WI |
Other providers in Owen, WI
- Affinity & Beyond Homecare LLC
- Aspirus Stanley Hospital & Clinics, Inc.
- Alexandra Bochte
- Adam Joshua Carr
- Bret D Carroll
- Clark County Health Care Center
- Kimberly Diamond
- Dr Tom Gelhaus
- Andrew Finnegan
- Galen Scharer Chiropractic Clinic, S.C.
All providers in Owen, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.