Active NPI
Clark County
- Skilled Nursing Facility
- Owen, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2387
- Legal business name
- CLARK COUNTY
- Practice address
- W4266 State Rd. 29
Owen, WI 54460 - Phone
- (715) 229-2172
- NPI assigned
- Jan 3, 2007
- Last updated
- Sep 28, 2011
- 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
- Jane Schmitz
- Title
- Administrator
- Phone
- (715) 229-2172
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | |||
| Skilled Nursing Facility | 314000000X | 2387 | WI | Primary |
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111017000667 | WI | Part A Provider - Skilled Nursing Facility | 3476464843 | Practice locations: Owen, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1497812697. Details of each certification follow.
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
- Incorporated
- Jul 1, 1922 in WI
- Enrollment address
- W4266 County Highway X
Owen, WI 54460 - Nursing home name
- CLARK COUNTY REHABILITATION & LIVING CENTER
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Clark County Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Neillsville, WI
- NPI 1598986564
3476464843
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Clark County Rehabilitation & Living Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jan 1, 1987
- Medicare certification status
- Active
- Certified beds
- 172
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
National Provider Directory
National Provider Directory- Tax ID family
- Clark County Community
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Neillsville, WI
- NPI 1508032277
-
dba Clark County Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Neillsville, WI
- NPI 1598986564
-
- Community/Behavioral Health Agency
- Neillsville, WI
- NPI 1639420961
-
- Public Health or Welfare Agency
- Neillsville, WI
- NPI 1679617831
-
- Occupational Therapy Assistant
- Owen, WI
- NPI 1982812426
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| 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% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Clark County Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Neillsville, WI
- NPI 1598986564
5% Or Greater Direct Ownership Interest
-
- Public Health or Welfare Agency
- Neillsville, WI
- NPI 1679617831
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Neillsville, WI
- NPI 1508450735
-
- Professional Counselor
- Neillsville, WI
- NPI 1508501131
-
- Clinical Social Worker
- Neillsville, WI
- NPI 1093262016
-
- Professional Counselor
- Neillsville, WI
- NPI 1912052333
-
- Professional Counselor
- Spencer, WI
- NPI 1356783799
-
- Professional Counselor
- Neillsville, WI
- NPI 1811471253
-
- Psychiatric/Mental Health Nurse Practitioner
- Independence, WI
- NPI 1790929891
-
- Psychiatry Physician
- Menomonie, WI
- NPI 1588602379
-
- Professional Counselor
- Neillsville, WI
- NPI 1215498969
-
- Psychologist
- La Crosse, WI
- NPI 1750447181
-
- Child & Adolescent Psychiatry Physician
- Oconomowoc, WI
- NPI 1487610853
-
- Clinical Social Worker
- Neillsville, WI
- NPI 1780391250
Affiliated clinicians 3
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": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317168000000",
"number": "1497812697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W4266 STATE RD. 29",
"city": "OWEN",
"state": "WI",
"postal_code": "54460",
"telephone_number": "715-229-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4266 STATE RD. 29",
"city": "OWEN",
"state": "WI",
"postal_code": "54460",
"telephone_number": "715-229-2172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARK COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2011-09-28",
"status": "A",
"authorized_official_last_name": "SCHMITZ",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "715-229-2172"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "2387",
"primary": true
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "WI",
"license": "3014",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owen, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.