Active NPI
Janesville Nursing Home
- Skilled Nursing Facility
- Janesville, MN
National Provider Identifier
1649211947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 331939
- Legal business name
- JANESVILLE NURSING HOME
- Practice address
- 102 E North St
Janesville, MN 56048-9793 - Phone
- (507) 231-5113
- Fax
- (507) 231-6310
- NPI assigned
- Jun 9, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. R. Peter Madel III
- Title
- Administrator
- Phone
- (507) 231-5113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 331939 | MN | Primary |
Addresses
Primary practice location
102 E North St
Janesville, MN 56048-9793
Mailing address
102 E North St
Janesville, MN 56048-9793
Phone (507) 231-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120305000101 | MN | Part A Provider - Skilled Nursing Facility | 9537328935 | Practice locations: Janesville, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649211947. Details of each certification follow.
Skilled nursing facility certification: CCN 245440
- Legal name
- JANESVILLE NURSING HOME
- Doing business as
- WHISPERING CREEK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1987
- Last certification
- Jul 16, 2024
- Beds
- 35
- Ownership / control type
- City
- Organization structure
- Government
- Incorporated
- Oct 15, 1965 in MN
- Enrollment address
- 102 E North St
Janesville, MN 56048-9793 - Nursing home name
- WHISPERING CREEK
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Whispering Creek
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City
- Certified
- Feb 1, 1987
- Medicare certification status
- Active
- Certified beds
- 35
National Provider Directory
National Provider DirectoryLocations
102 E North St
Janesville, MN 56048
Phone (507) 231-5113
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Robert Westpahl | Corporate Director | Jul 11, 2011 | |
| Raymond P Madel | Operational/Managerial Control | Dec 23, 2000 | |
| Lsi Consulting | Operational/Managerial Control | Dec 23, 2000 | |
| Berndette Sack | Corporate Director | Aug 9, 2010 | |
| Katherine King | Corporate Director | Jan 11, 2010 | |
| Michael Santo | Corporate Director | Jul 26, 2011 | |
| City of Janesville | 5% Or Greater Direct Ownership Interest | Oct 1, 1966 | 100% |
| Larry Milow | Corporate Director | Jan 10, 2011 |
Practitioners & affiliated clinicians
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": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649211947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E NORTH ST",
"city": "JANESVILLE",
"state": "MN",
"postal_code": "560489793",
"telephone_number": "507-231-5113",
"fax_number": "507-231-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E NORTH ST",
"city": "JANESVILLE",
"state": "MN",
"postal_code": "560489793",
"telephone_number": "507-231-5113",
"fax_number": "507-231-6310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANESVILLE NURSING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MADEL",
"authorized_official_first_name": "R. PETER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "507-231-5113",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": "331939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.