Organization Active NPI

Congregational Home Inc

  • Skilled Nursing Facility
  • Brookfield, WI
National Provider Identifier
1942488044
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2471 Issued in WI
Legal business name
CONGREGATIONAL HOME INC
Practice address
3150 Lilly Road
Brookfield, WI 53005-7623
Phone
(262) 781-0550
Fax
(262) 781-0559
NPI assigned
Jan 31, 2008
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mr. Charles T Nelson
Title
President Coo
Phone
(262) 781-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2471 WI Primary

Addresses

Primary practice location

3150 Lilly Road
Brookfield, WI 53005-7623

Mailing address

3150 Lilly Road
Brookfield, WI 53005-7623
Phone (262) 781-0550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090210000709 WI Part A Provider - Skilled Nursing Facility 0749345619 Practice locations: Brookfield, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942488044. Details of each certification follow.

Skilled nursing facility certification: CCN 525700

Legal name
CONGREGATIONAL HOME INC
Doing business as
BAIRD TRUST
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 1, 2010
Last certification
May 1, 2024
Beds
66
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1968 in WI
Enrollment address
13900 W Burleigh Rd
Brookfield, WI 53005-3019
Nursing home name
CONGREGATIONAL HOME, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Congregational Home, Inc.CCN 525700 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Church related
Certified
Jan 1, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6659.6 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
52D0388179Congregational Home13900 W Burleigh Rd, Brookfield, WI 53005Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3150 Lilly Rd
Brookfield, WI 53005
Phone (262) 781-0550

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
Steven Russ Individual Corporate Director Nov 1, 2021
Managing Control - Governing Body Nov 1, 2021
Stephen R Lamonte Individual Operational/Managerial Control Jun 21, 2017
Adp of the SNF Jun 21, 2017
Baird Trust Company Organization, Louisville, KY Corporation, Financial institution Operational/Managerial Control Oct 24, 2023
Adp of the SNF Nov 20, 2025
Patricia Servais Individual Corporate OfficerCfo Apr 30, 2020 20%
Operational/Managerial Control Feb 3, 2020
Adp of the SNF Feb 3, 2020
Keith H Harmon Individual Corporate Director Nov 1, 2023
Managing Control - Governing Body Nov 1, 2023
Tina Berg Individual Operational/Managerial Control Feb 19, 2018
Adp of the SNF Feb 19, 2018
Sva Certified Public Accountants, S.C. Organization, Madison, WI Corporation, Consulting firm Adp of the SNF Nov 1, 2015
Nathan J Schloemer Individual Corporate Director Nov 1, 2021
Managing Control - Governing Body Nov 1, 2021
Catherine a Solakian Individual Operational/Managerial Control Oct 23, 2017
Adp of the SNF Oct 23, 2017
Organization, Madison, WI Consulting firm Adp of the SNF Dec 23, 2025
Ellen E Schmitt Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
James F Harris Individual Corporate Director Nov 1, 2024
Managing Control - Governing Body Nov 1, 2024
Angela M Krauss Individual Operational/Managerial Control Feb 3, 2012
Adp of the SNF Feb 3, 2012
John D Griffith Individual Corporate Director Nov 1, 2020
Managing Control - Governing Body Nov 1, 2020
Lisa a Mauer Individual Corporate Director Nov 1, 2019
Managing Control - Governing Body Nov 1, 2019
Greenfield Rehabilitation Agency, Inc Organization, Brookfield, WI Corporation, Medical provider/supplier Operational/Managerial Control Jul 1, 2019
Kristine a Sprtel Individual Corporate OfficerCeo Jul 10, 2017 100%
Operational/Managerial Control Jul 10, 2017
Adp of the SNF Jul 10, 2017
Harry H Collis Individual Corporate Director Nov 1, 2021
Managing Control - Governing Body Nov 1, 2021
Eugene Guszkowski Individual Corporate Director Nov 1, 2020
Managing Control - Governing Body Nov 1, 2020
Felicia Ford Individual Operational/Managerial Control Apr 24, 2023
Adp of the SNF Apr 24, 2023
Eileen N Messnick Individual Corporate Director Nov 1, 2019
Managing Control - Governing Body Nov 1, 2019
Carrie M Crawford Individual Operational/Managerial Control Aug 18, 2023
Adp of the SNF Aug 18, 2023
Thomas W Stock Individual Corporate Director Nov 1, 2023
Managing Control - Governing Body Nov 1, 2023
Anmarie L Kehoss Individual Operational/Managerial Control Aug 21, 2017
Adp of the SNF Aug 21, 2017
Mahlon J Boyd Individual Corporate Director Nov 1, 2023
Managing Control - Governing Body Nov 1, 2023
William Cummings Individual Corporate Director Nov 1, 2020
Managing Control - Governing Body Nov 1, 2020
Gina L Osell Individual Operational/Managerial Control Nov 21, 2017
Adp of the SNF Nov 21, 2017
Peter a Henry Individual Corporate Director Nov 1, 2021
Managing Control - Governing Body Nov 1, 2021
Charles M York Individual Corporate Director Nov 1, 2022
Managing Control - Governing Body Nov 1, 2022
Laronda D Jefferson Individual Operational/Managerial Control Oct 31, 2023
Adp of the SNF Oct 31, 2023
Maurice G Zovi Individual Operational/Managerial Control May 22, 2013
Adp of the SNF May 22, 2013

Owners & managing parties with NPI records 5

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1942488044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 LILLY ROAD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057623",
            "telephone_number": "262-781-0550",
            "fax_number": "262-781-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 LILLY ROAD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057623",
            "telephone_number": "262-781-0550",
            "fax_number": "262-781-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGREGATIONAL HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT COO",
        "authorized_official_telephone_number": "262-781-0550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.