Active NPI
Wilmot Care Center
- Skilled Nursing Facility
- Wilmot, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10712
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 1, 2002
- Medicare certification status
- Active
- Certified beds
- 26
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Wilmot Care Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Skilled Nursing Facility
- Wilmot, SD
- NPI 1487752424
-
- Assisted Living Facility
- Wilmot, SD
- NPI 1639277577
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jannette Van Beek | Operational/Managerial Control | Dec 2, 2019 | |
| Adp of the SNF | Apr 18, 2025 | ||
| Rachel Beumer | Corporate Director | Oct 18, 2021 | |
| Trustee of the SNF | Oct 18, 2021 | ||
| Kevin M. Jurgens | Corporate Director | Oct 1, 2012 | |
| Trustee of the SNF | Sep 30, 2021 | ||
| Leshea M Buttke | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Feb 11, 2026 | ||
| Linda Remund | Corporate Director | Sep 30, 2022 | |
| Trustee of the SNF | Sep 30, 2022 | ||
| Heidi Pelzel | Corporate Director | 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.
-
- Family Medicine Physician
- Milbank, SD
- NPI 1477118958
Adp of the SNF, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Milbank, SD
- NPI 1477118958
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.