Organization Active NPI

Oakwood Village Prairie Ridge Homes, Inc

Doing business as Oakwood Village East Health & Rehab Center

  • Skilled Nursing Facility
  • Madison, WI
National Provider Identifier
1982888277
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 525692 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 8, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4033.4 residents per day on average
Penalties (3 years)
1Fines totaling $212,069

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
52D1080405Oakwood Village East5833 American Parkway, Madison, WI 53718Certificate of waiverFeb 21, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Martha Church Individual Corporate DirectorBoard Member Jan 1, 2021
Managing Control - Governing Body Jan 1, 2021
Cliftonlarsonallen LLP Organization, Minneapolis, MN Adp of the SNF Dec 31, 2020
Susan F Husom Individual Corporate OfficerVP Clinical Services & Compliance Dec 1, 2024
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Sarfraz Sidhu Individual Operational/Managerial Control Nov 1, 2022
Adp of the SNF Nov 1, 2022
Kevin R Hayden Individual Corporate DirectorBoard Member Jun 1, 2023
Managing Control - Governing Body Jun 1, 2023
Laura J Sachtjen Individual Operational/Managerial Control Oct 29, 2024
Sarah Raemisch Individual Operational/Managerial Control Jul 18, 2021
Goldie Nelson Individual Operational/Managerial Control Sep 12, 2021
Susan Rafferty Individual Corporate OfficerChief Human Resources Officer Jun 13, 2023
Operational/Managerial Control Jun 13, 2013
Ronnie E Schaetzl Individual Operational/Managerial Control May 28, 2024
Adp of the SNF May 28, 2024
Christine a O'Donnell Individual Corporate OfficerCfo Apr 9, 2023
Operational/Managerial Control Apr 9, 2023
Adp of the SNF Apr 9, 2023
Janice a Hamilton-Crawford Individual Corporate OfficerPresident & Ceo Oct 31, 2023
Operational/Managerial Control Oct 31, 2023
Tom Kunz Individual Corporate DirectorBoard Member Jun 1, 2024
Managing Control - Governing Body Jun 1, 2024
Oakwood Lutheran Senior Ministries, Inc. Organization, Madison, WI Non-profit 5% Or Greater Direct Ownership Interest Mar 10, 2008 100%
Mary Barros Individual Corporate OfficerVP of Facility Management Jul 30, 2024
Operational/Managerial Control Jul 30, 2024
Adp of the SNF Jul 30, 2024
Robert J. Nicholson Individual Corporate DirectorBoard Member Jun 1, 2023
Managing Control - Governing Body Jun 1, 2023
Kristin Lefel Individual Operational/Managerial Control Dec 31, 2023
Oakwood Village University Woods Homes Inc Organization, Madison, WI Non-profit Operational/Managerial Control Mar 10, 2008
Adp of the SNF Mar 4, 2025
Sally Wolff Individual Corporate DirectorBoard Member 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.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 23

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

View all 23

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

Sources for this page

Verify at the official NPI Registry.