Organization Active NPI

Northpoint Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Oshkosh, WI
National Provider Identifier
1952833048
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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)CodeLicenseStatePrimary
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 WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171102001364 WI Part A Provider - Skilled Nursing Facility 2062778301 Practice locations: Oshkosh, WI
O20220406001323 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062778301 Receives reassigned benefits from 1 practitioner
Practice locations: Oshkosh, WI

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
LLCProprietary
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 OshkoshCCN 525299 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 7, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11065.6 residents per day on average
Chain
Eden Senior Care21 facilities in the chain

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
52D0397324Edenbrook of Oshkosh1850 Bowen, Oshkosh, WI 54901Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Pamela D Rice Individual Operational/Managerial ControlDirector of Revenues Sep 1, 2017 10%
Carrie Wendling Individual W-2 Managing EmployeeAdministrator Sep 1, 2017
Mordechai Polstein Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 2017 16%
Corporate OfficerChief Operating Officer Sep 1, 2017
Dovie Mauer Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 2017 9%
Operational/Managerial ControlRegional Director of Operations Sep 1, 2017 45%
Rostislav Pukshansky Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 2017 8%
Maxim Stesel Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 2017 45%
Dan Feinstein Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 2017 12%
Channie B Lifsics Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 2017 9%
Operational/Managerial ControlRegional Clinical Director 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.

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

Sources for this page

Verify at the official NPI Registry.