Active NPI
Oakwood Village Prairie Ridge Homes, Inc
Doing business as Oakwood Village East Health & Rehab Center
- Skilled Nursing Facility
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OAKWOOD VILLAGE PRAIRIE RIDGE HOMES, INC
- Doing business as
- Oakwood Village East Health & Rehab Center
- Practice address
- 5833 American Pkwy
Madison, WI 53718 - Phone
- (608) 230-4000
- Fax
- (608) 230-4001
- NPI assigned
- Dec 21, 2007
- Last updated
- Feb 20, 2025
- 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
- Mr. Christine O Donnell
- Title
- Finance
- Phone
- (608) 230-4466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | WI | Primary |
Addresses
Primary practice location
5833 American Pkwy
Madison, WI 53718
Mailing address
6165 Mineral Point Rd
Attn: Finance Dept
Madison, WI 53705-4457
Phone (608) 230-4318
Other names 1
- OAKWOOD VILLAGE EAST HEALTH & REHAB CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080123000816 | WI | Part A Provider - Skilled Nursing Facility | 8022190503 | Practice locations: Madison, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982888277. Details of each certification follow.
Skilled nursing facility certification: CCN 525692
- Legal name
- OAKWOOD VILLAGE PRAIRIE RIDGE HOMES, INC.
- Doing business as
- OAKWOOD VILLAGE EAST HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 8, 2008
- Last certification
- Jun 6, 2024
- Beds
- 40
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Oakwood Village East Lutheran Homes, Inc
- Organization structure
- Corporation
- Incorporated
- Jun 23, 1999 in WI
- Enrollment address
- 5833 American Pkwy
Madison, WI 53718-8325 - Nursing home name
- OAKWOOD VILLAGE EAST HEALTH AND REHAB CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Oakwood Village East Health and Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 8, 2008
- Medicare certification status
- Active
- Certified beds
- 40
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 52D1080405 | Oakwood Village East | Certificate of waiver | Feb 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
5833 American Pkwy
Madison, WI 53718
Phone (608) 230-4000
Ownership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| Martha Church | Corporate Director | Jan 1, 2021 | |
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Cliftonlarsonallen LLP | Adp of the SNF | Dec 31, 2020 | |
| Susan F Husom | Corporate Officer | Dec 1, 2024 | |
| Operational/Managerial Control | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Sarfraz Sidhu | Operational/Managerial Control | Nov 1, 2022 | |
| Adp of the SNF | Nov 1, 2022 | ||
| Kevin R Hayden | Corporate Director | Jun 1, 2023 | |
| Managing Control - Governing Body | Jun 1, 2023 | ||
| Laura J Sachtjen | Operational/Managerial Control | Oct 29, 2024 | |
| Sarah Raemisch | Operational/Managerial Control | Jul 18, 2021 | |
| Goldie Nelson | Operational/Managerial Control | Sep 12, 2021 | |
| Susan Rafferty | Corporate Officer | Jun 13, 2023 | |
| Operational/Managerial Control | Jun 13, 2013 | ||
| Ronnie E Schaetzl | Operational/Managerial Control | May 28, 2024 | |
| Adp of the SNF | May 28, 2024 | ||
| Christine a O'Donnell | Corporate Officer | Apr 9, 2023 | |
| Operational/Managerial Control | Apr 9, 2023 | ||
| Adp of the SNF | Apr 9, 2023 | ||
| Janice a Hamilton-Crawford | Corporate Officer | Oct 31, 2023 | |
| Operational/Managerial Control | Oct 31, 2023 | ||
| Tom Kunz | Corporate Director | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Oakwood Lutheran Senior Ministries, Inc. | 5% Or Greater Direct Ownership Interest | Mar 10, 2008 | 100% |
| Mary Barros | Corporate Officer | Jul 30, 2024 | |
| Operational/Managerial Control | Jul 30, 2024 | ||
| Adp of the SNF | Jul 30, 2024 | ||
| Robert J. Nicholson | Corporate Director | Jun 1, 2023 | |
| Managing Control - Governing Body | Jun 1, 2023 | ||
| Kristin Lefel | Operational/Managerial Control | Dec 31, 2023 | |
| Oakwood Village University Woods Homes Inc | Operational/Managerial Control | Mar 10, 2008 | |
| Adp of the SNF | Mar 4, 2025 | ||
| Sally Wolff | Corporate Director | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2024 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Skilled Nursing Facility
- Madison, WI
- NPI 1174510010
Adp of the SNF, Operational/Managerial Control
-
dba Oakwood Pharmacy
- Long Term Care Pharmacy
- Madison, WI
- NPI 1679592646
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Waukesha, WI
- NPI 1801946462
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Madison, WI
- NPI 1174510010
Oakwood Lutheran Senior Ministries, Inc.
Practitioners & affiliated clinicians
Affiliated clinicians 23
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Madison, WI
- NPI 1952348278
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Madison, WI
- NPI 1164476388
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Madison, WI
- NPI 1447632815
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1982888277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6165 MINERAL POINT RD",
"address_2": "ATTN: FINANCE DEPT",
"city": "MADISON",
"state": "WI",
"postal_code": "537054457",
"telephone_number": "608-230-4318",
"fax_number": "608-230-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5833 AMERICAN PKWY",
"city": "MADISON",
"state": "WI",
"postal_code": "53718",
"telephone_number": "608-230-4000",
"fax_number": "608-230-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKWOOD VILLAGE PRAIRIE RIDGE HOMES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "O DONNELL",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "FINANCE",
"authorized_official_telephone_number": "608-230-4466",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OAKWOOD VILLAGE EAST HEALTH & REHAB CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, WI
- Joseph Michael Oakley II, DC
- Linda D Oakley, NP
- Oakpark Dental - Mineral PT Rd
- Oakwood Acquisition LLC (Oakwood Preferred Hospice)
- Oakwood Acquisition, LLC (Oakwood Preferred Home Health Care)
- Oakwood Village University Woods Homes, Inc
- Oakwood Village University Woods Homes, Inc (Oakwood Pharmacy)
- Oakwood Village University Woods Homes, Inc (Oakwood Pharmacy)
- Julia Lauren Oanes
- Kristin Danielle Oates Curry, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.