Crossroads Care Center of Fond Du Lac LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROSSROADS CARE CENTER OF FOND DU LAC LLC

Practice address

115 E Arndt St
Fond Du Lac, WI 54935-2461

Phone

(920) 923-7040

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

David Merzel

Title

Cfo

Phone

(847) 983-4860

Specialties & licenses 1

Addresses

Other names 1

• Avina of Fond du Lac Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525270

Legal name

CROSSROADS CARE CENTER OF FOND DU LAC LLC

Doing business as

AVINA OF FOND DU LAC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1976

Last certification

Jun 5, 2024

Beds

50

Ownership / control type

Individual

Organization structure

LLCProprietary

Enrollment address

115 E Arndt St
Fond Du Lac, WI 54935-2461

Nursing home name

AVINA OF FOND DU LAC

Affiliated entity

AVINA HEALTHCARE

Listed as

Avina of Fond du LacCCN 525270

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

May 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5044.4 residents per day on average

Chain

Avina Healthcare9 facilities in the chain

Penalties (3 years)

1Fines totaling $7,446

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 1

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

• Lisa R Weber, MD

  • Family Medicine Physician
  • Fond Du Lac, WI
  • NPI 1881883635

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa R Weber, MD

  • Family Medicine Physician
  • Fond Du Lac, WI
  • NPI 1881883635
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1972016533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773210",
            "telephone_number": "847-983-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E ARNDT ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549352461",
            "telephone_number": "920-923-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CARE CENTER OF FOND DU LAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "MERZEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-983-4860"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avina of Fond du Lac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth M Cotter, RN
• Lisa Marie Coulter, MS-CCC-SLP
• Carol A Craig, CRNA
• Emily Crego
• Mary Lee Crook, LPN
• Courtnee Crull
• Hayley Cullen
• Michael Dean Cunningham, DDS
• Michelle M Cunningham, RPH
• William Henry Curry, DC

• Skilled Nursing Facility in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.

Verify at the official NPI Registry.