Oakridge Gardens Nursing Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2639 Issued in WI

Legal business name

OAKRIDGE GARDENS NURSING CENTER, INC.

Practice address

1700 Midway Rd
Menasha, WI 54952-1230

Phone

(920) 739-0111

Fax

(920) 739-4002

NPI assigned

Jul 13, 2005

Last updated

Nov 1, 2011By 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

Mr. Michael T Schanke, N.H.A.

Title

Administrator

Phone

(920) 739-0111

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 1902804958. Details of each certification follow.

• CCN 525463 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525463

Legal name

OAKRIDGE GARDENS NURSING CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1990

Last certification

Apr 3, 2024

Beds

106

Ownership / control type

Limited Liability Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 21, 1980 in WI

Enrollment address

1700 Midway Rd
Menasha, WI 54952-1230

Nursing home name

OAKRIDGE GARDENS NUR CTR, INC

Listed as

Oakridge Gardens Nur Ctr, IncCCN 525463 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10660.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 2

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

Affiliated clinicians 2

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

• Abisoye A Adebayo, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Appleton, WI
  • NPI 1942720727

  Nursing home

  Care Compare affiliation
• Ronald T Schreiber, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Appleton, WI
  • NPI 1588658595

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1902804958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521230",
            "telephone_number": "920-739-0111",
            "fax_number": "920-739-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521230",
            "telephone_number": "920-739-0111",
            "fax_number": "920-739-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE GARDENS NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHANKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-739-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20106700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael W Noll, LPC
• Marikathryn NMN Nooe, M.S.E.
• Tara Notzke
• Nourishing Change
• Rebecca Susan O'Keefe, OTR
• Gregory Obermeier, CSAC, CS-IT
• One Love:Harmonizing Mind, Body, Spirit
• One Love:Harmonizing Mind, Body, Spirit
• Beverly S Oosterhous, MSE
• Oral Surgery Associates of Wisconsin, S.C.

• Skilled Nursing Facility in Menasha, WI
• Providers in Menasha, 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 1, 2011; 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.