Active NPI
Congregational Home Inc
- Skilled Nursing Facility
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2471
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Church related
- Certified
- Jan 1, 2010
- Medicare certification status
- Active
- Certified beds
- 66
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0388179 | Congregational Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Steven Russ | Corporate Director | Nov 1, 2021 | |
| Managing Control - Governing Body | Nov 1, 2021 | ||
| Stephen R Lamonte | Operational/Managerial Control | Jun 21, 2017 | |
| Adp of the SNF | Jun 21, 2017 | ||
| Baird Trust Company | Operational/Managerial Control | Oct 24, 2023 | |
| Adp of the SNF | Nov 20, 2025 | ||
| Patricia Servais | Corporate Officer | Apr 30, 2020 | 20% |
| Operational/Managerial Control | Feb 3, 2020 | ||
| Adp of the SNF | Feb 3, 2020 | ||
| Keith H Harmon | Corporate Director | Nov 1, 2023 | |
| Managing Control - Governing Body | Nov 1, 2023 | ||
| Tina Berg | Operational/Managerial Control | Feb 19, 2018 | |
| Adp of the SNF | Feb 19, 2018 | ||
| Sva Certified Public Accountants, S.C. | Adp of the SNF | Nov 1, 2015 | |
| Nathan J Schloemer | Corporate Director | Nov 1, 2021 | |
| Managing Control - Governing Body | Nov 1, 2021 | ||
| Catherine a Solakian | Operational/Managerial Control | Oct 23, 2017 | |
| Adp of the SNF | Oct 23, 2017 | ||
| Adp of the SNF | Dec 23, 2025 | ||
| Ellen E Schmitt | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| James F Harris | Corporate Director | Nov 1, 2024 | |
| Managing Control - Governing Body | Nov 1, 2024 | ||
| Angela M Krauss | Operational/Managerial Control | Feb 3, 2012 | |
| Adp of the SNF | Feb 3, 2012 | ||
| John D Griffith | Corporate Director | Nov 1, 2020 | |
| Managing Control - Governing Body | Nov 1, 2020 | ||
| Lisa a Mauer | Corporate Director | Nov 1, 2019 | |
| Managing Control - Governing Body | Nov 1, 2019 | ||
| Greenfield Rehabilitation Agency, Inc | Operational/Managerial Control | Jul 1, 2019 | |
| Kristine a Sprtel | Corporate Officer | Jul 10, 2017 | 100% |
| Operational/Managerial Control | Jul 10, 2017 | ||
| Adp of the SNF | Jul 10, 2017 | ||
| Harry H Collis | Corporate Director | Nov 1, 2021 | |
| Managing Control - Governing Body | Nov 1, 2021 | ||
| Eugene Guszkowski | Corporate Director | Nov 1, 2020 | |
| Managing Control - Governing Body | Nov 1, 2020 | ||
| Felicia Ford | Operational/Managerial Control | Apr 24, 2023 | |
| Adp of the SNF | Apr 24, 2023 | ||
| Eileen N Messnick | Corporate Director | Nov 1, 2019 | |
| Managing Control - Governing Body | Nov 1, 2019 | ||
| Carrie M Crawford | Operational/Managerial Control | Aug 18, 2023 | |
| Adp of the SNF | Aug 18, 2023 | ||
| Thomas W Stock | Corporate Director | Nov 1, 2023 | |
| Managing Control - Governing Body | Nov 1, 2023 | ||
| Anmarie L Kehoss | Operational/Managerial Control | Aug 21, 2017 | |
| Adp of the SNF | Aug 21, 2017 | ||
| Mahlon J Boyd | Corporate Director | Nov 1, 2023 | |
| Managing Control - Governing Body | Nov 1, 2023 | ||
| William Cummings | Corporate Director | Nov 1, 2020 | |
| Managing Control - Governing Body | Nov 1, 2020 | ||
| Gina L Osell | Operational/Managerial Control | Nov 21, 2017 | |
| Adp of the SNF | Nov 21, 2017 | ||
| Peter a Henry | Corporate Director | Nov 1, 2021 | |
| Managing Control - Governing Body | Nov 1, 2021 | ||
| Charles M York | Corporate Director | Nov 1, 2022 | |
| Managing Control - Governing Body | Nov 1, 2022 | ||
| Laronda D Jefferson | Operational/Managerial Control | Oct 31, 2023 | |
| Adp of the SNF | Oct 31, 2023 | ||
| Maurice G Zovi | 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.
-
dba Rehab Resources
- Physical Therapist
- Brookfield, WI
- NPI 1790230571
Operational/Managerial Control
-
- Physical Therapist
- Brookfield, WI
- NPI 1811907462
Operational/Managerial Control
-
- Emergency Medical Services (Emergency Medicine) Physician
- Milwaukee, WI
- NPI 1205883766
Corporate Director, Managing Control - Governing Body
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1689830465
Corporate Director, Managing Control - Governing Body
-
- Geriatric Medicine (Internal Medicine) Physician
- Milwaukee, WI
- NPI 1902367725
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Woodside Lutheran Home
- Skilled Nursing Facility
- Green Bay, WI
- NPI 1780756890
Greenfield Rehabilitation Agency, Inc
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Milwaukee, WI
- NPI 1063839397
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Milwaukee, WI
- NPI 1245791607
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Milwaukee, WI
- NPI 1902367725
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.