Active NPI
Northpoint Nursing and Rehab, LLC
- Skilled Nursing Facility
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NORTHPOINT NURSING AND REHAB, LLC
- Practice address
- 1850 Bowen St
Oshkosh, WI 54901-2356 - Phone
- (920) 233-4011
- NPI assigned
- Mar 29, 2017
- Last updated
- Sep 16, 2020
- 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
- Pamela Rice
- Title
- Director of Revenue
- Phone
- (847) 712-8901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1850 Bowen St
Oshkosh, WI 54901-2356
Mailing address
8170 McCormick Blvd
Ste 112
Skokie, IL 60076-2961
Phone (773) 825-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952833048. Details of each certification follow.
Skilled nursing facility certification: CCN 525299
- Legal name
- NORTHPOINT NURSING AND REHAB LLC
- Doing business as
- EDENBROOK OF OSHKOSH
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 7, 1985
- Last certification
- Mar 26, 2025
- Beds
- 110
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Eden Senior Care
- Most recent change of ownership
- Sep 1, 2017
- Organization structure
- LLC
- Incorporated
- Feb 23, 2017 in WI
- Enrollment address
- 1850 Bowen St
Oshkosh, WI 54901-2356 - Nursing home name
- EDENBROOK OF OSHKOSH
- Affiliated entity
- EDEN SENIOR CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Edenbrook of Oshkosh
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 7, 1985
- Medicare certification status
- Active
- Certified beds
- 110
- Chain
- Eden Senior Care
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 |
|---|---|---|---|
| 52D0397324 | Edenbrook of Oshkosh | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1850 Bowen St
Oshkosh, WI 54901
Phone (920) 233-4011
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Pamela D Rice | Operational/Managerial Control | Sep 1, 2017 | 10% |
| Carrie Wendling | W-2 Managing Employee | Sep 1, 2017 | |
| Mordechai Polstein | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 16% |
| Corporate Officer | Sep 1, 2017 | ||
| Dovie Mauer | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 9% |
| Operational/Managerial Control | Sep 1, 2017 | 45% | |
| Rostislav Pukshansky | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 8% |
| Maxim Stesel | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 45% |
| Dan Feinstein | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 12% |
| Channie B Lifsics | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 | 9% |
| Operational/Managerial Control | Sep 1, 2017 | 45% |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Fond Du Lac, WI
- NPI 1346384567
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": "1490745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600214400000",
"number": "1952833048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 MCCORMICK BLVD",
"address_2": "STE 112",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762961",
"telephone_number": "773-825-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 BOWEN ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549012356",
"telephone_number": "920-233-4011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHPOINT NURSING AND REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-29",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "DIRECTOR OF REVENUE",
"authorized_official_telephone_number": "847-712-8901"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
- Northeast Wisconsin Vision Center, LTD.
- Northpoint Med & Rehab Center
- Northpoint Med & Rehab Center
- Northpoint Med & Rehab Center
- Northpoint Medical & Rehab Center
- Northpoint/Milwaukee, LLC (The Cottages at Northpoint)
- Northside Chiropractic Center LLC
- Nathan Noto
- Diane Nourse
- Nova Counseling Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.