NPIMap

Organization Active NPI

Walworth County Care Center, Inc.

  • Skilled Nursing Facility
  • Selby, SD
National Provider Identifier
1619445152
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WALWORTH COUNTY CARE CENTER, INC.
Practice address
4861 Lincoln Ave
Selby, SD 57472-2036
Phone
(605) 649-7663
NPI assigned
Nov 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Mr. Daniel J Biel, OWNER
Title
Board President
Phone
(605) 649-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4861 Lincoln Ave
Selby, SD 57472-2036

Mailing address

3416 Main St
Selby, SD 57472-2015
Phone (605) 649-7288

Other identifiers 1

IdentifierTypeStateIssuer
NS154068OtherSDSECRETARY OF STATE SOUTH DAKOTA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190102001195 SD Part A Provider - Skilled Nursing Facility 4082959598 Practice locations: Selby, SD

Skilled nursing facility certification: CCN 435123

Legal name
WALWORTH COUNTY CARE CENTER INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2007
Last certification
Dec 12, 2024
Beds
50
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 19, 2018 in SC
Enrollment address
4861 Lincoln Ave
Selby, SD 57472-2036
Nursing home name
WALWORTH COUNTY CARE CENTER, INC
Affiliated entity
RURAL HEALTH DEVELOPMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Walworth County Care Center, IncCCN 435123
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5049.1 residents per day on average
Chain
Rural Health Development9 facilities in the chain

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
43D2157712Walworth County Care Center Inc4861 Lincoln Ave, Selby, SD 57472Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Renae Karst Individual Corporate DirectorBoard Secretary/Treasurer Dec 1, 2018
Crystal R Rueb Individual Corporate OfficerBoard Vice President Dec 1, 2018 100%
Corporate DirectorBoard Vice President Dec 1, 2018
Walworth County Care Center Inc Organization, Selby, SD Medical provider/supplier 5% Or Greater Direct Ownership Interest Dec 18, 2018 100%
Daniel J Biel Individual Corporate DirectorBoard President Dec 1, 2018
Rural Health Development Inc. Organization, Cambridge, NE Corporation, For-profit Operational/Managerial Control Dec 1, 2018 100%
Robert C Marciano Individual Corporate OfficerMedical Director May 1, 2019
Operational/Managerial Control Dec 1, 2018
Adp of the SNF Dec 1, 2018
Trista Bates Individual Corporate OfficerLnha May 1, 2019
Operational/Managerial Control May 1, 2019
Adp of the SNF May 1, 2019

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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

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": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1619445152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 MAIN ST",
            "city": "SELBY",
            "state": "SD",
            "postal_code": "574722015",
            "telephone_number": "605-649-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 LINCOLN AVE",
            "city": "SELBY",
            "state": "SD",
            "postal_code": "574722036",
            "telephone_number": "605-649-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALWORTH COUNTY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "BIEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "605-649-7288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE SOUTH DAKOTA",
            "identifier": "NS154068",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selby, SD

Sources for this page

Verify at the official NPI Registry.