Aurora Health Care Southern Lakes, Inc.
Organization Active NPI General Acute Care Hospital · Elkhorn, WI
NPI 1972628006 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1972628006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- AURORA HEALTH CARE SOUTHERN LAKES, INC.
- Practice address
- W3985 County Road NN
Elkhorn, WI 53121 - Phone
- (262) 741-2000
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Kara Richardson
- Title
- VP Managed Health
- Phone
- (704) 631-0450
Owners & managing parties with NPI records 2
-
Timothy W Lineberry, M.D.
-
Paul Mihalakakos, MD
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Facilities with the same owner 92
Practitioners 4
-
Reema I Sanghvi, M.D.
-
Vaseem Iqbal, MD
Affiliated clinicians 317
-
Katherine M Abbo, MD FACC
-
Nichole Lea Adami, M.D.
-
Arvind Ahuja, M.D.
-
Indre Aleksaite, MD
-
Andinet Worku Alemu, M.D.
-
Syed Imran Ali, M.D.
-
Daniel A Allison, MD
-
Nancy S Asencio, APNP
-
Nathan Tesfaye Asfaw, M.D.
-
Lili Barsky, MD
-
Martin C Baur, M.D.
-
Hasnain S Bawaadam, M.D., M.P.H.
-
Dinesh Jethu Belani, M. D.
-
Paul Berce, MD
-
Paras Bhavsar, M.D.
Medicare Care Compare: Hospital
- Listed as
- Aurora Lakeland Medical Center
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Hospital certification: CCN 520102
- Legal name
- AURORA HEALTH CARE SOUTHERN LAKES, INC.
- Doing business as
- AURORA LAKELAND MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 11, 2009
- Beds
- 99
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jan 1, 1999 (2 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 15, 1922 in WI
- Enrollment address
- W3985 County Road NN
Elkhorn, WI 53121-4337 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Timothy Lineberry |
Corporate Director |
Jan 1, 2019 | |
| Ania Horner |
W-2 Managing Employee | Sep 6, 2022 | |
| Aurora Health Care, Inc. |
5% Or Greater Direct Ownership Interest | Aug 1, 1995 | 100% |
| Operational/Managerial Control | Aug 1, 1995 | ||
| Gabrielle Finley-Hazle |
Corporate Officer |
Dec 15, 2023 | |
| Corporate Director |
Dec 15, 2023 | ||
| Jennifer Schomberg |
Corporate Director |
Dec 6, 2024 | |
| Tori Munnik |
W-2 Managing Employee |
Oct 1, 2024 | |
| Rachelle Hart |
Corporate Officer |
Jun 6, 2023 | |
| Jamie Campbell |
Corporate Officer |
Apr 7, 2025 | |
| Kara Richardson |
Corporate Officer |
Feb 1, 2025 | |
| W-2 Managing Employee |
Oct 1, 2024 | ||
| Tamara Frost |
Corporate Director |
Jul 1, 2025 | |
| Paul Ziehler |
Corporate Director |
Jan 1, 2019 | |
| Lindsay Durgin |
Corporate Officer |
Jun 30, 2025 | |
| Rachel Halverson |
Corporate Officer |
Jun 6, 2023 | |
| Desiree Millet |
W-2 Managing Employee |
Oct 1, 2024 | |
| Harold James Jr Slinkman |
Corporate Officer |
Sep 28, 2023 | |
| Advocate Health Inc |
Operational/Managerial Control | Dec 2, 2022 | |
| Paul Mihalakakos |
Corporate Director |
Apr 16, 2025 | |
| Advocate Aurora Health, Inc. |
5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 100% |
| Operational/Managerial Control | Apr 1, 2018 | 100% | |
| Jeffrey Bard |
Corporate Director |
Mar 12, 2015 | |
| Jessica Bauer |
Corporate Officer |
Jan 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000636 | WI | Part a Provider - Hospital | 1850291865 | Practice locations: Delavan, WI; Elkhorn, WI; Lake Geneva, WI |
National Provider Directory
- Tax ID family
- Aurora Healthcare South
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
W3985 County Road NN
Elkhorn, WI 53121
Mailing address
W3985 County Road NN
Elkhorn, WI 53121-4337
Phone (262) 741-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11021600 | Medicaid | WI | |
| 41758800 | Medicaid | WI | |
| 41758900 | Medicaid | WI | |
| 41223100 | Medicaid | WI | |
| 41227100 | Medicaid | WI | |
| 41758100 | Medicaid | WI |
Other names
- Aurora Lakeland Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Elkhorn, WI
- Apex Family Chiropractic, LLC
- Sandra Arens
- Virginia Marie Arnold
- Britt Van Asbach
- Athletico LTD
- Aurora Lakeland Medical Center
- Aurora Medical Group Inc
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
All providers in Elkhorn, WI · General Acute Care Hospital in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.