Milwaukee Catholic Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3213 Issued in WI

Legal business name

MILWAUKEE CATHOLIC HOME, INC.

Practice address

2330 N Prospect Ave
Milwaukee, WI 53211-4455

Phone

(414) 220-4610

Fax

(414) 220-8495

NPI assigned

Jul 8, 2005

Last updated

Nov 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rohini J. Desai

Title

Chief Financial Officer

Phone

(414) 220-8468

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902804586. Details of each certification follow.

• CCN 525635 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525635

Legal name

MILWAUKEE CATHOLIC HOME, INC.

Doing business as

CLA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 5, 1997

Last certification

Feb 13, 2024

Beds

107

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 21, 1913 in WI

Enrollment address

2330 N Prospect Avenue
Milwaukee, WI 53211-4457

Nursing home name

MILWAUKEE CATHOLIC HOME

Listed as

Milwaukee Catholic HomeCCN 525635 · All quality measures

Overall star rating

4 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Aug 5, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10790.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Milwaukee Catholic Home Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Milwaukee Catholic Home, Inc.

  • PACE Provider Organization
  • Milwaukee, WI
  • NPI 1306712880
  NPD tax ID
• Milwaukee Catholic Home, Inc.

  • PACE Provider Organization
  • Greenfield, WI
  • NPI 1386510865
  NPD tax ID
• Milwaukee Catholic Home, Inc.

  • PACE Provider Organization
  • Burlington, WI
  • NPI 1821964305
  NPD tax ID

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 2

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

• Joanne L Hill, MD

  • Family Medicine Physician
  • Brookfield, WI
  • NPI 1639121429

  Corporate Director, Managing Control - Governing Body

  CMS ownership
• James P. Volberding, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1629007125

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• American Lutheran Homes, Inc.

  dba American Lutheran Homes - Menomonie

  • Skilled Nursing Facility
  • Menomonie, WI
  • NPI 1124068689

  Leadingchoice Network LLC

  CMS ownership
• Medical Services, Inc

  dba Tamarack Health Water's Edge

  • Skilled Nursing Facility
  • Hayward, WI
  • NPI 1902810450

  Leadingchoice Network LLC

  CMS ownership
• Schmitt Woodland Hills Inc

  • Skilled Nursing Facility
  • Richland Center, WI
  • NPI 1649203050

  Leadingchoice Network LLC

  CMS ownership

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Milwaukee Catholic Home, Inc.

  • PACE Provider Organization
  • Milwaukee, WI
  • NPI 1306712880
  NPPES parent name
• Milwaukee Catholic Home, Inc.

  • PACE Provider Organization
  • Greenfield, WI
  • NPI 1386510865
  NPPES parent name
• Milwaukee Catholic Home, Inc.

  • PACE Provider Organization
  • Burlington, WI
  • NPI 1821964305
  NPPES parent name

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John R Betz, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1659399194

  Nursing home

  Care Compare affiliation
• Kieran McAvoy, MD

  • Internal Medicine Physician
  • Waukesha, WI
  • NPI 1316407372

  Nursing home

  Care Compare affiliation
• Nancy S Reeder, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1245270362

  Nursing home

  Care Compare affiliation
• Brett Twente, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1194784629

  Nursing home

  Care Compare affiliation
• James P. Volberding, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1629007125

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1902804586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114455",
            "telephone_number": "414-220-4610",
            "fax_number": "414-220-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114455",
            "telephone_number": "414-220-4610",
            "fax_number": "414-220-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE CATHOLIC HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ROHINI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "414-220-8468",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20178800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milwaukee Cardiac Care
• Milwaukee Cardiac Care LLC
• Milwaukee Cardiovascular CNTR S.C.
• Milwaukee Care Connection
• Milwaukee Catholic Home, Inc.
• Milwaukee Center for Independence
• Milwaukee Center for Independence
• Milwaukee Center for Independence
• Milwaukee Center for Independence
• Milwaukee Center for Independence

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.

Verify at the official NPI Registry.