Organization Active NPI

Villa Maria Health and Rehabilitation Center, LLC

Doing business as Villa Maria Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Hurley, WI
National Provider Identifier
1932101136
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2660 Issued in WI
Legal business name
VILLA MARIA HEALTH AND REHABILITATION CENTER, LLC
Doing business as
Villa Maria Health and Rehabilitation Center
Practice address
300 Villa Dr
Hurley, WI 54534-1523
Phone
(715) 561-3200
Fax
(715) 561-5556
NPI assigned
Jun 1, 2005
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Mr. Lawrence J Kutz
Title
Administrator Owner
Phone
(715) 561-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2660 WI Primary

Addresses

Primary practice location

300 Villa Dr
Hurley, WI 54534-1523

Mailing address

300 Villa Dr
Hurley, WI 54534-1523
Phone (715) 561-3200

Other identifiers 2

IdentifierTypeStateIssuer
4528310MedicaidMI
20190900MedicaidWI

Other names 1

  • Villa Maria Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000355 WI Part A Provider - Skilled Nursing Facility 4385552579 Practice locations: Hurley, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932101136. Details of each certification follow.

Skilled nursing facility certification: CCN 525540

Legal name
VILLA MARIA HEALTH AND REHABILITATION CENTER LLC
Doing business as
VILLA MARIA HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1994
Last certification
Dec 11, 2024
Beds
70
Ownership / control type
Partnership
Organization structure
LLCProprietary
Enrollment address
300 Villa Dr
Hurley, WI 54534-1523
Nursing home name
VILLA MARIA HEALTH AND REHAB CTR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Villa Maria Health and Rehab CtrCCN 525540 · All quality measures
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 - Partnership
Certified
Jun 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7057.5 residents per day on average

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
52D0719816Villa Maria Health & Rehabilitation Center300 Villa Dr, Hurley, WI 54534Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Lawrence J Kutz Individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Operational/Managerial Control Jan 1, 2016
Trustee of the SNF Jan 1, 2016
Adp of the SNF Jan 1, 2016
Joseph Paul Simonich Individual Operational/Managerial Control Jun 20, 1980
Adp of the SNF Jun 20, 1980
Organization, Hurley, WI Trustee of the SNF Dec 31, 2012
Adp of the SNF Feb 12, 2025
James E Rocco Individual Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jan 1, 2015
John J Kutz Individual Operational/Managerial Control Mar 31, 2022
Trustee of the SNF Mar 31, 2022
Adp of the SNF Mar 31, 2022
Margo Holm Individual Operational/Managerial Control Feb 25, 2000
Adp of the SNF Jun 1, 2000
Organization, Saint Charles, MO Consulting firm, For-profit Adp of the SNF Jan 16, 2025
Organization, Eau Claire, WI LLC, Medical provider/supplier, For-profit Adp of the SNF Jan 16, 2025
Lauren Snyder Individual Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jan 1, 2015
Organization, Hurley, WI Trustee of the SNF Jan 1, 2021
Adp of the SNF Feb 12, 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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1932101136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLA DR",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341523",
            "telephone_number": "715-561-3200",
            "fax_number": "715-561-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VILLA DR",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341523",
            "telephone_number": "715-561-3200",
            "fax_number": "715-561-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MARIA HEALTH AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "KUTZ",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "715-561-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4528310",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20190900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Maria Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurley, WI

Sources for this page

Verify at the official NPI Registry.