Organization Active NPI

Park View Home, Inc.

  • Skilled Nursing Facility
  • Woodville, WI
National Provider Identifier
1811981046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
859 Issued in WI
Legal business name
PARK VIEW HOME, INC.
Practice address
220 N Lockwood St
Woodville, WI 54028-9577
Phone
(715) 698-2451
Fax
(715) 698-2363
NPI assigned
Sep 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melissa M Walthall, NHA
Title
Admnistrator
Phone
(715) 698-2451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 859 WI Primary

Addresses

Primary practice location

220 N Lockwood St
Woodville, WI 54028-9577

Mailing address

220 N Lockwood St
PO Box 265
Woodville, WI 54028-9577
Phone (715) 698-2451

Other identifiers 1

IdentifierTypeStateIssuer
20157700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000678 WI Part A Provider - Skilled Nursing Facility 4880869692 Practice locations: Woodville, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811981046. Details of each certification follow.

Skilled nursing facility certification: CCN 525458

Legal name
PARK VIEW HOME, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1990
Last certification
Jun 20, 2024
Beds
50
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1959 in WI
Enrollment address
220 N Lockwood St
Woodville, WI 54028-9577
Nursing home name
PARK VIEW HOME
Affiliated entity
HEALTH DIMENSIONS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Park View HomeCCN 525458 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5043.6 residents per day on average
Chain
Health Dimensions Group10 facilities in the chain

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
52D0864000Park View Home, Inc220 Lockwood St, Woodville, WI 54028Certificate of waiverAug 31, 2026

National Provider Directory

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
Larry Knegendorf Individual Corporate OfficerBoard President Jan 1, 2021
Greg Jacobsen Individual Corporate OfficerTreasurer Jan 1, 2021
Sue Stene Individual Corporate Director Jan 1, 2021
Thomas Field Individual Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2018
Lance Albrightson Individual Corporate OfficerVice President Nov 1, 2024
Melissa Walthall Individual Corporate OfficerAdministrator Mar 1, 1997
Adp of the SNF Feb 5, 2025

Owners & managing parties with NPI records 2

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

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": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811981046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N LOCKWOOD ST",
            "address_2": "PO BOX 265",
            "city": "WOODVILLE",
            "state": "WI",
            "postal_code": "540289577",
            "telephone_number": "715-698-2451",
            "fax_number": "715-698-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N LOCKWOOD ST",
            "city": "WOODVILLE",
            "state": "WI",
            "postal_code": "540289577",
            "telephone_number": "715-698-2451",
            "fax_number": "715-698-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VIEW HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTHALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMNISTRATOR",
        "authorized_official_telephone_number": "715-698-2451",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20157700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, WI

Sources for this page

Verify at the official NPI Registry.