Oak Park Nursing and Rehab Center LLC
Organization Active NPI Skilled Nursing Facility · Madison, WI
NPI 1740283308 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1740283308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2858 (WI)
- Legal business name
- OAK PARK NURSING AND REHAB CENTER LLC
- Practice address
- 718 Jupiter Drive
Madison, WI 53718-2950 - Phone
- (608) 663-8600
- Fax
- (608) 251-2868
- NPI assigned
- May 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Scott Frank
- Title
- Ceo
- Phone
- (608) 663-8600
Owners & managing parties with NPI records 1
-
Farid A Ahmad, MD
Affiliated clinicians 5
-
Parisa Amleshi, MD
-
Lucas W Kuehn, MD
-
Gerald T Pankratz, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Oak Park Nursing and Rehab Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 2, 1975
- Medicare certification status
- Active
- Certified beds
- 100 · 68.7 residents per day on average
- Penalties (3 years)
- 2 · fines totaling $67,410
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Skilled nursing facility certification: CCN 525266
- Legal name
- OAK PARK NURSING AND REHAB CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 2, 1975
- Last certification
- Jul 16, 2024
- Beds
- 100
- Ownership / control type
- Corporation
- Multi-facility organization
- Oak Park Place
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 29, 2006 in WI
- Enrollment address
- 718 Jupiter Dr
Madison, WI 53718-2950 - Nursing home name
- OAK PARK NURSING AND REHAB CENTER
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| |
Direct Ownership Interest | Nov 5, 2013 | 1.25% |
| |
Direct Ownership Interest | Nov 5, 2013 | 1.25% |
| Farid Ahmad |
Adp of the SNF | Feb 26, 2025 | |
| Byron Chase |
5% Or Greater Direct Ownership Interest | Nov 5, 2013 | 9.08% |
| Adp of the SNF | Nov 5, 2013 | ||
| |
Direct Ownership Interest | Nov 5, 2013 | 1.25% |
| Theodore Chase |
5% Or Greater Direct Ownership Interest | Nov 5, 2013 | 13.97% |
| Adp of the SNF | Nov 5, 2013 | ||
| |
Direct Ownership Interest | Nov 5, 2013 | 2% |
| Steven Halford |
5% Or Greater Direct Ownership Interest | Nov 5, 2013 | 9.29% |
| Adp of the SNF | Nov 5, 2013 | ||
| |
Direct Ownership Interest | Nov 5, 2013 | 0.5% |
| |
Direct Ownership Interest | Nov 5, 2013 | 0.5% |
| Rebecca Balousek |
Adp of the SNF | Feb 26, 2025 | |
| Robert Sadler |
5% Or Greater Direct Ownership Interest | Nov 5, 2013 | 15.3% |
| Adp of the SNF | Nov 5, 2013 | ||
| Scott Frank |
5% Or Greater Direct Ownership Interest | Nov 5, 2013 | 44.22% |
| Operational/Managerial Control | Sep 29, 2006 | ||
| Adp of the SNF | Nov 5, 2013 | ||
| Gregory Bernstein |
5% Or Greater Direct Ownership Interest | Nov 5, 2013 | 1.25% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061115000335 | WI | Part a Provider - Skilled Nursing Facility | 7416955067 | Practice locations: Madison, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2858 | WI | Yes |
Addresses
Primary practice location
718 Jupiter Drive
Madison, WI 53718-2950
Mailing address
718 Jupiter Drive
Madison, WI 53718-2950
Phone (608) 663-8600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1040542 | Other | WI | PHYSICIANS PLUS INS. CORP |
| 573392 | Other | WI | DEAN HEALTH PLAN |
| 20189700 | Medicaid | WI |
Other providers in Madison, WI
- Ann P. O'Rourke
- Emily Joelle O'Sullivan
- Lera O'Sullivan
- Kristan O'Toole
- Oak Leaf Psychotherapy, S.C.
- Oak Park Place of Nakoma, LLC
- Karen R. Oakes
- Joseph Michael Oakley II
- Linda D Oakley
- Oakpark Dental - Mineral PT Rd
All providers in Madison, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.