Divine Rehabilitation and Nursing at St Croix LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DIVINE REHABILITATION AND NURSING AT ST CROIX LLC

Practice address

750 E Louisiana St
Saint Croix Falls, WI 54024-9501

Phone

(715) 483-9815

NPI assigned

Jan 30, 2019

Organization subpart

No

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

Authorized official

Name

Isaak Markovits

Title

Managing Member

Phone

(718) 753-0250

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525532

Legal name

DIVINE REHABILITATION AND NURSING AT ST CROIX LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1994

Last certification

Jul 17, 2024

Beds

50

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Dove Healthcare

Organization structure

LLCProprietary

Incorporated

Dec 6, 2018 in WI

Enrollment address

750 E Louisiana St
Saint Croix Falls, WI 54024-9501

Nursing home name

DOVE HEALTHCARE - ST CROIX FALLS

Affiliated entity

DOVE HEALTHCARE

Listed as

Dove Healthcare - St Croix FallsCCN 525532

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5044.8 residents per day on average

Chain

Dove Healthcare11 facilities in the chain

Penalties (3 years)

3Fines totaling $62,134

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Facilities with the same owner 2

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

• Divine Rehabilitation and Nursing at Fennimore LLC

  • Skilled Nursing Facility
  • Fennimore, WI
  • NPI 1306300694

  Wisconsin 3 Holdco LLC

  CMS ownership
• Divine Rehabilitation and Nursing at Lodi LLC

  • Skilled Nursing Facility
  • Lodi, WI
  • NPI 1730643123

  Wisconsin 3 Holdco LLC

  CMS ownership

Affiliated clinicians 1

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

• Vikas Simon Mittal, MD

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1629038377

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1730643107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 61ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LOUISIANA ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249501",
            "telephone_number": "715-483-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE REHABILITATION AND NURSING AT ST CROIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "MARKOVITS",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-753-0250"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20157500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine Marie Crotty, NP
• Christine Boden Davis, OTR/L
• Stephen D Dennis, D.O.
• Nicholas Vincent Diflavio, PA-C
• Jonn B. Dinnies, PA-C
• Courtney Dobbertin, PHARM.D.
• Megan Doble, ATC
• Marcelle N Dodge, LCSW, CSAC
• Sandra K Dolphin, O.D.
• Denise Douglass

• Skilled Nursing Facility in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.

Verify at the official NPI Registry.