Chetek Nursing and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHETEK NURSING AND REHAB LLC

Doing business as

Meadowbrook at Chetek

Practice address

725 Knapp St
Chetek, WI 54728-9106

Phone

(715) 924-4891

NPI assigned

Sep 15, 2019

Last updated

Feb 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rostislav Pukshansky

Title

Partner

Phone

(847) 942-7575

Specialties & licenses 1

Addresses

Other names 1

• Meadowbrook at Chetek Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982254611. Details of each certification follow.

• CCN 525672 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525672

Legal name

CHETEK NURSING AND REHAB LLC

Doing business as

MEADOWBROOK AT CHETEK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 10, 2004

Last certification

Mar 19, 2025

Beds

97

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Synergy Senior Care Center

Organization structure

LLCProprietary

Incorporated

Sep 9, 2019 in WI

Enrollment address

725 Knapp St
Chetek, WI 54728-9106

Nursing home name

MEADOWBROOK AT CHETEK

Affiliated entity

SYNERGY SENIOR CARE

Listed as

Meadowbrook at ChetekCCN 525672 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 10, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9774.6 residents per day on average

Chain

Synergy Senior Care5 facilities in the chain

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

All disclosed owners & managing parties 11

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.

• Peter D Reisner, MD

  • Family Medicine Physician
  • Barron, WI
  • NPI 1982664017

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Bloomer Nursing and Rehab LLC

  dba Meadowbrook at Bloomer

  • Skilled Nursing Facility
  • Bloomer, WI
  • NPI 1346890076

  Synergy Senior Care LLC

  CMS ownership
• BRF Nursing and Rehab LLC

  dba Meadowbrook at Black River Falls

  • Skilled Nursing Facility
  • Black River Falls, WI
  • NPI 1164072898

  Synergy Senior Care LLC

  CMS ownership
• Oconto Falls Nursing and Rehab LLC

  dba Meadowbrook at Oconto Falls

  • Skilled Nursing Facility
  • Oconto Falls, WI
  • NPI 1609426337

  Synergy Senior Care LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Peter D Reisner, MD

  • Family Medicine Physician
  • Barron, WI
  • NPI 1982664017

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1982254611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD STE 119",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "715-924-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KNAPP ST",
            "city": "CHETEK",
            "state": "WI",
            "postal_code": "547289106",
            "telephone_number": "715-924-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHETEK NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-15",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "PUKSHANSKY",
        "authorized_official_first_name": "ROSTISLAV",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-942-7575"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook at Chetek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meadowbrook at Chetek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Chetek, WI
• Providers in Chetek, 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 Feb 3, 2022; 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.