Organization Active NPI

St. Croix Valley Shared Services, Inc.

Doing business as Adoray Home Health and Hospice

  • Home Health Agency
  • Baldwin, WI
National Provider Identifier
1689679094
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
128 Issued in WI
Legal business name
ST. CROIX VALLEY SHARED SERVICES, INC.
Doing business as
Adoray Home Health and Hospice
ADORAY Home Health
Practice address
990 Main Street
Ste1
Baldwin, WI 54002
Phone
(715) 629-1888
Fax
(833) 434-0364
NPI assigned
Jun 14, 2005
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Christa Walz, PT
Title
Executive Director
Phone
(715) 928-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 128 WI Primary

Addresses

Primary practice location

990 Main Street
Ste1
Baldwin, WI 54002

Mailing address

990 Main Street
Ste 1
Baldwin, WI 54002
Phone (715) 629-1888

Other identifiers 1

IdentifierTypeStateIssuer
41530800MedicaidWI

Other names 2

  • ADORAY HOME HEALTH AND HOSPICE Doing business as
  • ADORAY Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040526001353 WI Part A Provider - Home Health Agency 0244211258 Practice locations: Baldwin, WI
O20211116000782 WI Part B Supplier - Mass Immunization (Roster Biller Only) 0244211258 Practice locations: Baldwin, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689679094. Details of each certification follow.

Home health agency certification: CCN 527137

Legal name
ST. CROIX VALLEY SHARED SERVICES, INC.
Doing business as
ADORAY HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 11, 1984
Last certification
Sep 16, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Mar 28, 1996 in WI
Enrollment address
990 Main Street
Suite 1
Baldwin, WI 54002-3215
HHA Branch

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: Home health agency

Medicare Care Compare
Listed as
Adoray Home Health and HospiceCCN 527137 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Dec 11, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Adoray Home Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 4

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

Locations

990 Hillcrest St
Ste 104
Baldwin, WI 54002
Phone (715) 684-5020

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Christa Walz Individual Corporate OfficerExecutive Director Sep 15, 2024
W-2 Managing EmployeeExecutive Director Sep 15, 2024
David M Dobosenski Individual Corporate DirectorBoard Member Dec 1, 2014
Jeanne Curtis Individual Corporate DirectorDirector of Revenue Cycle Mar 16, 2022
Baldwin Area Medical Center Inc Organization, Baldwin, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 1994 81.38%
St. Croix Regional Medical Center Organization, Saint Croix Falls, WI Corporation 5% Or Greater Direct Ownership Interest Sep 1, 2014 18.62%

Owners & managing parties with NPI records 8

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

Practitioners 11

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.

Affiliated clinicians 57

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 57

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1689679094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MAIN STREET",
            "address_2": "STE 1",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "54002",
            "telephone_number": "715-629-1888",
            "fax_number": "833-434-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MAIN STREET",
            "address_2": "STE1",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "54002",
            "telephone_number": "715-629-1888",
            "fax_number": "833-434-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX VALLEY SHARED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-928-9977",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41530800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADORAY HOME HEALTH AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADORAY Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin, WI

Sources for this page

Verify at the official NPI Registry.