NPIMap

Organization Active NPI

Human Services Board Serving North Central Health Care Facility

  • Skilled Nursing Facility
  • Wausau, WI
National Provider Identifier
1669580908
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2931 Issued in WI
Legal business name
HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY
Doing business as
North Central Health Care
Practice address
2400 Marshall St Ste B
Wausau, WI 54403-6738
Phone
(715) 848-4600
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Gary D. Olsen
Title
Executive Director
Phone
(715) 848-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2931 WI Primary

Addresses

Primary practice location

2400 Marshall St Ste B
Wausau, WI 54403-6738

Mailing address

2400 Marshall St Ste a
Wausau, WI 54403-6738
Phone (715) 848-4600

Other identifiers 1

IdentifierTypeStateIssuer
20123800MedicaidWI

Other names 1

  • North Central Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000415 WI Part A Provider - Skilled Nursing Facility 4385617786 Practice locations: Wausau, WI

Skilled nursing facility certification: CCN 525132

Legal name
HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY
Doing business as
NORTH CENTRAL HEALTH CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jun 6, 2024
Beds
159
Ownership / control type
County
Multi-facility organization
North Central Health Care
Organization structure
GovernmentNon-profit
Enrollment address
2400 Marshall St
Ste B
Wausau, WI 54403-6738
Nursing home name
NORTH CENTRAL HEALTH CARE

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
North Central Health CareCCN 525132 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
159128.3 residents per day on average
Penalties (3 years)
2Fines totaling $56,244

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Human Services Board Serving North Central Heatlh Care Facility31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Human Services Board Serving North Central Health Care Facility Organization, Wausau, WI 5% Or Greater Direct Ownership Interest Apr 1, 1976 100%
Gary Olsen Individual Corporate OfficerExecutive Director Dec 29, 2022 100%
Corporate DirectorExecutive Director Dec 29, 2022 100%
W-2 Managing EmployeeExecutive Director Dec 29, 2022 100%
Operational/Managerial ControlExecutive Director Dec 29, 2022 100%
Jason Hake Individual Corporate DirectorChief Financial Officer Oct 1, 2023
W-2 Managing EmployeeChief Financial Director Oct 1, 2023

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Central Health CareWausau, WI, CCN 524017 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 31, 1975

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 3

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

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1669580908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MARSHALL ST STE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036738",
            "telephone_number": "715-848-4600",
            "fax_number": "715-845-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MARSHALL ST STE B",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036738",
            "telephone_number": "715-848-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-848-4600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20123800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Central Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.