Active NPI
Golden Years Nursing Home, Inc.
- Skilled Nursing Facility
- Lake Geneva, WI
National Provider Identifier
1831693936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GOLDEN YEARS NURSING HOME, INC.
- Practice address
- 611 Harmony Dr
Lake Geneva, WI 53147-8800 - Phone
- (262) 275-6103
- NPI assigned
- Mar 22, 2018
- Organization subpart
- Yes
- Parent organization
- GOLDEN YEARS NURSING HOME, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Stankevitz
- Title
- Administrator
- Phone
- (262) 275-6103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
611 Harmony Dr
Lake Geneva, WI 53147-8800
Mailing address
270 Ridge Rd
Walworth, WI 53184-9526
Phone (262) 275-6103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180403000828 | WI | Part A Provider - Skilled Nursing Facility | 5092792424 | Practice locations: Lake Geneva, WI |
Skilled nursing facility certification: CCN 525727
- Legal name
- GOLDEN YEARS NURSING HOME, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jun 18, 2018
- Last certification
- Feb 8, 2024
- Beds
- 54
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 17, 1975 in WI
- Enrollment address
- 611 Harmony Dr
Lake Geneva, WI 53147-8800 - Nursing home name
- GOLDEN YEARS OF LAKE GENEVA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Golden Years of Lake Geneva
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Corporation
- Certified
- Jun 18, 2018
- Medicare certification status
- Active
- Certified beds
- 54
National Provider Directory
National Provider Directory- Tax ID family
- Golden Years Nursing Home Inc
- Part of
- Golden Years Nursing Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Walworth, WI
- NPI 1891420220
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Linda Susan Austin | 5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 23% |
| Jeffrey Austin | 5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 25% |
| W-2 Managing Employee | Jan 1, 2017 | ||
| Jonathan Stankevitz | 5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 25% |
| W-2 Managing Employee | Jan 1, 2017 |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1521676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1831693936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 RIDGE RD",
"city": "WALWORTH",
"state": "WI",
"postal_code": "531849526",
"telephone_number": "262-275-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 HARMONY DR",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531478800",
"telephone_number": "262-275-6103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN YEARS NURSING HOME, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GOLDEN YEARS NURSING HOME, INC.",
"enumeration_date": "2018-03-22",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "STANKEVITZ",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "262-275-6103"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.