NPIMap

Organization Active NPI

Winona Senior Services, Inc.

Doing business as Winona Area Hospice Services

  • Community Based Hospice Care Agency
  • Winona, MN
National Provider Identifier
1629152889
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
333765 Issued in MN
Legal business name
WINONA SENIOR SERVICES, INC.
Doing business as
Winona Area Hospice Services
Practice address
175 E Wabasha St
Winona, MN 55987-3492
Phone
(507) 457-4468
Fax
(507) 457-4413
NPI assigned
Oct 24, 2006
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Rachelle Heising-Schultz
Title
President/Ceo
Phone
(507) 457-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 333765 MN Primary

Addresses

Primary practice location

175 E Wabasha St
Winona, MN 55987-3492

Mailing address

855 Mankato Ave
PO Box 5600
Winona, MN 55987-4868
Phone (507) 457-4468

Other identifiers 1

IdentifierTypeStateIssuer
4470133MedicaidMN

Other names 1

  • Winona Area Hospice Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000470 MN Part A Provider - Hospice 7911081948 Practice locations: Winona, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629152889. Details of each certification follow.

Hospice certification: CCN 241535

Legal name
WINONA SENIOR SERVICES, INC
Doing business as
WINONA AREA HOSPICE SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 24, 1993
Last certification
Aug 16, 2018
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Mar 6, 1894 in MN
Enrollment address
175 E Wabasha St
Winona, MN 55987-3492

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Winona Area Hospice ServicesCCN 241535 · All quality measures
Ownership
Non-Profit
Certified
Nov 24, 1993
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Winona Comm Mem Hos DME8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Kenneth a Mogren Individual Corporate DirectorBoard Member Jan 1, 2007
Mark S Wagner Individual Corporate DirectorBoard Member Jan 1, 2007
Greg Evans Individual Corporate DirectorBoard Member Jun 1, 2016
Brian Semling Individual Corporate DirectorBoard Member Nov 1, 2016
Vicky L Decker Individual Corporate DirectorBoard Member Jan 1, 2007
Steven L Blue Individual Corporate DirectorBoard Member Jan 1, 2007
Toni Highum Individual Corporate DirectorBoard Member Jan 1, 2015
Robert Williams Individual Corporate DirectorBoard Member Nov 1, 2016
Brett S Whyte Individual Corporate DirectorBoard Member, Provider Oct 18, 2016
Hugh Miller Individual Corporate DirectorBoard Member Jan 1, 1993
Jan Brosnahan Individual Corporate DirectorBoard Member Aug 1, 2011
Sandra Burke Individual Corporate DirectorBoard Member Jan 1, 2016
Matthew Broghammer Individual Corporate DirectorBoard Member, Physician Jan 1, 2007
Nicole L Varela Individual Corporate DirectorBoard Member, Provider Oct 18, 2016
Winona Health Services Organization, Winona, MN Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Rachelle Heising-Schultz Individual Corporate DirectorCeo, Board Member Jul 1, 2002
W-2 Managing EmployeeCeo Jul 1, 2002
Audrey Ceplecha Individual W-2 Managing EmployeeDirector of Revenue Cycle Nov 1, 2021
Operational/Managerial ControlDirector of Revenue Cycle Nov 1, 2021

Owners & managing parties with NPI records 10

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1629152889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MANKATO AVE",
            "address_2": "PO BOX 5600",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874868",
            "telephone_number": "507-457-4468",
            "fax_number": "507-457-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E WABASHA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873492",
            "telephone_number": "507-457-4468",
            "fax_number": "507-457-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA SENIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "HEISING-SCHULTZ",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "507-457-4321"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "333765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4470133",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Area Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winona Area Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.