Organization Active NPI

Wilmot Care Center

  • Skilled Nursing Facility
  • Wilmot, SD
National Provider Identifier
1770586604
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10712 Issued in SD
Legal business name
WILMOT CARE CENTER
Practice address
501 4TH St
Wilmot, SD 57279-2232
Phone
(605) 938-4418
Fax
(605) 938-4412
NPI assigned
May 24, 2005
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Ms. Cathy Pond
Title
Administrator
Phone
(605) 938-4418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10712 SD Primary

Addresses

Primary practice location

501 4TH St
Wilmot, SD 57279-2232

Mailing address

501 4TH St
Wilmot, SD 57279-2232
Phone (605) 938-4418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021016000021 SD Part A Provider - Skilled Nursing Facility 7012825623 Practice locations: Wilmot, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770586604. Details of each certification follow.

Skilled nursing facility certification: CCN 435119

Legal name
WILMOT CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2002
Last certification
Mar 6, 2025
Beds
26
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 19, 2001 in SD
Enrollment address
501 4TH St
Wilmot, SD 57279-2232
Nursing home name
WILMOT CARE CENTER INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wilmot Care Center IncCCN 435119 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2624.8 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
2Fines totaling $28,028

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Wilmot Care Center3 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.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Jannette Van Beek Individual Operational/Managerial ControlChief Executive Officer Dec 2, 2019
Adp of the SNF Apr 18, 2025
Rachel Beumer Individual Corporate DirectorBoard Member Oct 18, 2021
Trustee of the SNF Oct 18, 2021
Kevin M. Jurgens Individual Corporate DirectorBoard Member Oct 1, 2012
Trustee of the SNF Sep 30, 2021
Leshea M Buttke Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Feb 11, 2026
Linda Remund Individual Corporate DirectorBoard Member Sep 30, 2022
Trustee of the SNF Sep 30, 2022
Heidi Pelzel Individual Corporate DirectorBoard of Directors Oct 18, 2021
Trustee of the SNF Sep 30, 2019

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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 2

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": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1770586604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 4TH ST",
            "city": "WILMOT",
            "state": "SD",
            "postal_code": "572792232",
            "telephone_number": "605-938-4418",
            "fax_number": "605-938-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 4TH ST",
            "city": "WILMOT",
            "state": "SD",
            "postal_code": "572792232",
            "telephone_number": "605-938-4418",
            "fax_number": "605-938-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMOT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-938-4418",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmot, SD

Sources for this page

Verify at the official NPI Registry.