Organization Active NPI

Chippewa Manor Nursing and Rehabilitation Corporation

  • Skilled Nursing Facility
  • Chippewa Falls, WI
National Provider Identifier
1881690873
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2627 Issued in WI
Legal business name
CHIPPEWA MANOR NURSING AND REHABILITATION CORPORATION
Practice address
222 Chapman Rd
Chippewa Falls, WI 54729-3253
Phone
(715) 723-4437
Fax
(715) 723-0524
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Brandon Thorsness
Title
President
Phone
(715) 723-4437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2627 WI Primary

Addresses

Primary practice location

222 Chapman Rd
Chippewa Falls, WI 54729-3253

Mailing address

222 Chapman Rd
Chippewa Falls, WI 54729-3253
Phone (715) 723-4437

Other identifiers 1

IdentifierTypeStateIssuer
20105700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326000889 WI Part A Provider - Skilled Nursing Facility 1557447828 Practice locations: Chippewa Falls, WI

Skilled nursing facility certification: CCN 525419

Legal name
CHIPPEWA MANOR NURSING AND REHABILITATION CORPORATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 9, 1989
Last certification
Jan 29, 2025
Beds
50
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 9, 1980 in WI
Enrollment address
222 Chapman Rd
Chippewa Falls, WI 54729-3253
Nursing home name
CHIPPEWA MANOR NURSING AND REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chippewa Manor Nursing and RehabilitationCCN 525419
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 9, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5042.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Darrell Rubel Individual 5% Or Greater Indirect Ownership Interest Feb 9, 1989 100%
Corporate OfficerCeo Feb 9, 1989 100%
Brandon P Thorsness Individual Corporate OfficerPresident Jan 1, 2018
W-2 Managing Employee Oct 27, 2014
Scott Nicastro Individual Corporate OfficerSecretary Oct 19, 2011
Corporate Director Oct 19, 2011
Jeffrey Thiess Individual Corporate OfficerVice President/Treasurer Oct 19, 2011
Corporate Director Oct 19, 2011
Chippewa Manor Corporation Organization, Altoona, WI Corporation 5% Or Greater Direct Ownership Interest Jan 29, 2009 100%

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": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1881690873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CHAPMAN RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293253",
            "telephone_number": "715-723-4437",
            "fax_number": "715-723-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CHAPMAN RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293253",
            "telephone_number": "715-723-4437",
            "fax_number": "715-723-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA MANOR NURSING AND REHABILITATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "THORSNESS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-723-4437"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20105700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.