Active NPI
Oak Park Place of Janesville, LLC
- Skilled Nursing Facility
- Janesville, WI
National Provider Identifier
1801302732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OAK PARK PLACE OF JANESVILLE, LLC
- Practice address
- 700 Myrtle Way
Janesville, WI 53545-9101 - Phone
- (608) 279-0378
- NPI assigned
- Dec 14, 2017
- Last updated
- Feb 5, 2019
- 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
- Hayden Frank
- Title
- Project Manager
- Phone
- (608) 729-2910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
700 Myrtle Way
Janesville, WI 53545-9101
Mailing address
719 Jupiter Dr
Madison, WI 53718-2984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180212001204 | WI | Part A Provider - Skilled Nursing Facility | 7315207339 | Practice locations: Janesville, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801302732. Details of each certification follow.
Skilled nursing facility certification: CCN 525728
- Legal name
- OAK PARK PLACE OF JANESVILLE LLC
- Doing business as
- OAK PARK PLACE OF JANESVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 16, 2019
- Last certification
- Jun 3, 2025
- Beds
- 35
- Ownership / control type
- Corporation
- Multi-facility organization
- Oak Park Place
- Organization structure
- LLC
- Incorporated
- Mar 14, 2017 in WI
- Enrollment address
- 700 Myrtle Way
Janesville, WI 53545-9101 - Nursing home name
- OAK PARK PLACE OF JANESVILLE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oak Park Place of Janesville
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 16, 2019
- Medicare certification status
- Active
- Certified beds
- 35
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2152388 | Oak Park Place Janesville | Certificate of waiver | Aug 7, 2026 |
| 52D2152719 | Oak Park Place Janesville | Certificate of waiver | Aug 14, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Carl Helle | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 5% |
| Hayden Frank | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 2.2% |
| Lakeland Janesville LLC | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 5.51% |
| Theodore Chase | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 5% |
| James a. Gregory Living Trust | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 5% |
| Steven Halford | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 0.88% |
| Sadler Living Trust | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 3.08% |
| Barron Richter | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 3.85% |
| Robert Sadler | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 3.85% |
| Brian Osterhaus | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 1.65% |
| Brian Satterlee | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 2.5% |
| Scott Frank | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 58.95% |
| Corporate Officer | Dec 22, 2017 | 100% | |
| Operational/Managerial Control | Dec 22, 2017 | 100% | |
| Anita Satterlee | 5% Or Greater Direct Ownership Interest | Dec 22, 2017 | 2.5% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1513209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549324800000",
"number": "1801302732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 JUPITER DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537182984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MYRTLE WAY",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535459101",
"telephone_number": "608-279-0378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK PARK PLACE OF JANESVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-14",
"last_updated": "2019-02-05",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "HAYDEN",
"authorized_official_title_or_position": "PROJECT MANAGER",
"authorized_official_telephone_number": "608-729-2910"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.