NPIMap

Organization Active NPI

Whispering Pines Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Ripon, WI
National Provider Identifier
1740765452
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WHISPERING PINES NURSING AND REHAB, LLC
Practice address
50 Wolverton Ave
Ripon, WI 54971-1050
Phone
(920) 748-5638
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Pamela Rice
Title
Director of Revenue
Phone
(773) 825-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

50 Wolverton Ave
Ripon, WI 54971-1050

Mailing address

8170 McCormick Blvd Ste 112
Skokie, IL 60076-2914
Phone (773) 825-3336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181127000089 WI Part A Provider - Skilled Nursing Facility 5496009763 Practice locations: Ripon, WI

Skilled nursing facility certification: CCN 525551

Legal name
WHISPERING PINES NURSING AND REHAB, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1994
Last certification
Jan 15, 2025
Beds
50
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Eden Senior Care
Most recent change of ownership
Nov 1, 2018
Organization structure
LLCProprietary
Incorporated
Aug 30, 2018 in WI
Enrollment address
50 Wolverton Ave
Ripon, WI 54971-1050
Nursing home name
WHISPERING PINES NURSING AND REHAB, LLC
Affiliated entity
EDEN SENIOR CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Whispering Pines Nursing and Rehab, LLCCCN 525551
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5032.7 residents per day on average
Chain
Eden Senior Care21 facilities in the chain
Penalties (3 years)
1Fines totaling $12,649

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Pamela D Rice Individual W-2 Managing EmployeeDirector of Revenue Oct 1, 2018 10%
Operational/Managerial ControlDirector of Revenues Oct 1, 2018 10%
Cayla Lee Piehl Individual W-2 Managing EmployeeAdministrator Oct 1, 2018 90%
Mordechai Polstein Individual 5% Or Greater Direct Ownership InterestMember Oct 1, 2018 19.29%
Operational/Managerial ControlCoo Oct 1, 2018 80%
Dovie Mauer Individual 5% Or Greater Direct Ownership InterestMember Oct 1, 2018 9%
Operational/Managerial ControlRegional Director of Operations Oct 1, 2018 10%
Rostislav Pukshansky Individual 5% Or Greater Direct Ownership InterestMember Oct 1, 2018 9.65%
Maxim Stesel Individual 5% Or Greater Direct Ownership InterestManager Oct 1, 2018 53.06%
Channie B Lifsics Individual 5% Or Greater Direct Ownership InterestMember Oct 1, 2018 9%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1740765452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 112",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762914",
            "telephone_number": "773-825-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WOLVERTON AVE",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711050",
            "telephone_number": "920-748-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISPERING PINES NURSING AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "773-825-3336"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, WI

Sources for this page

Verify at the official NPI Registry.