NPIMap

Organization Active NPI

Lindengrove Communities LLC

Doing business as LindenGrove New Berlin

  • Skilled Nursing Facility
  • New Berlin, WI
National Provider Identifier
1780766444
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2974 Issued in WI
Legal business name
LINDENGROVE COMMUNITIES LLC
Doing business as
LindenGrove New Berlin
Practice address
13755 W Fieldpointe Dr
New Berlin, WI 53151-3979
Phone
(262) 796-3660
Fax
(262) 796-2765
NPI assigned
Oct 20, 2006
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Julie Anne Marks
Title
Cfo
Phone
(920) 261-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2974 WI Primary

Addresses

Primary practice location

13755 W Fieldpointe Dr
New Berlin, WI 53151-3979

Mailing address

1045 Hill St
Watertown, WI 53098-3001
Phone (920) 261-0400

Other identifiers 2

IdentifierTypeStateIssuer
20163800MedicaidWI
100244184MedicaidWI

Other names 1

  • LindenGrove New Berlin Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803001874 WI Part A Provider - Skilled Nursing Facility 0749641058 Practice locations: New Berlin, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780766444. Details of each certification follow.

Skilled nursing facility certification: CCN 525064

Legal name
LINDENGROVE COMMUNITIES LLC
Doing business as
LINDENGROVE NEW BERLIN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 21, 2025
Beds
110
Ownership / control type
Church Related
Multi-facility organization
ILLUMINUS
Most recent change of ownership
Mar 20, 2023
Organization structure
LLCNon-profit
Incorporated
Jan 16, 2023 in WI
Enrollment address
13755 W Fieldpointe Dr
New Berlin, WI 53151-3979
Nursing home name
LINDENGROVE NEW BERLIN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lindengrove New BerlinCCN 525064 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11082.5 residents per day on average
Penalties (3 years)
3Fines totaling $100,006

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0389617Lindengrove-New Berlin13755 W Fieldpointe Dr, New Berlin, WI 53151Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lindengrove Communities LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13700 W National Ave
New Berlin, WI 53151
Phone (262) 797-7979

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Matthew R Mauthe Individual Corporate OfficerCeo Mar 20, 2023
Operational/Managerial ControlCeo Mar 20, 2023
Adp of the SNF Mar 20, 2023
Todd Fischer Individual Corporate DirectorBoard Chair Mar 7, 2023
Michael Jones Individual Operational/Managerial Control Jun 23, 2024
Adp of the SNF Apr 28, 2025
Illuminus Inc Organization, Watertown, WI Corporation, Management services company, Non-profit Operational/Managerial Control Mar 20, 2023 100%
Adp of the SNF Nov 7, 2025
Scott Dettman Individual Corporate DirectorSecretary/Treasurer Mar 7, 2023
The Hills at Cortland Ridge, Inc. Organization, Watertown, WI Corporation, Holding company, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 14, 2023 100%
Kevin Kohlhoff Individual Corporate DirectorDirector Sep 1, 2023
Individual Adp of the SNF Jul 10, 2023
Robert Meidenbauer Individual Corporate DirectorVice Chair Mar 7, 2023
Katie Van Der Linden Individual Corporate DirectorDirector Mar 7, 2023
Marquardt Village Inc Organization, Watertown, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Mar 7, 2023 100%
Dennis Konkol Individual Corporate DirectorDirector Oct 1, 2024
Steven Heroux Individual Corporate DirectorDirector Aug 1, 2024
Lynne Wagner Individual Corporate DirectorDirector Oct 1, 2024
Julie Marks Individual Corporate OfficerCfo Jun 5, 2025
Corporate DirectorBoard Member Jun 5, 2025
Operational/Managerial Control Jun 5, 2025
Adp of the SNF Jun 5, 2025
Indirect Ownership Interest Jun 5, 2025

Facilities with the same owner 12

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

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1780766444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 HILL ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983001",
            "telephone_number": "920-261-0400",
            "fax_number": "920-261-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13755 W FIELDPOINTE DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513979",
            "telephone_number": "262-796-3660",
            "fax_number": "262-796-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENGROVE COMMUNITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-261-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20163800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244184",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LindenGrove New Berlin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.