HERITAGE NURSING AND REHABILITATION CENTER
NPI 1407927148
Skilled Nursing Facility in Port Washington, WI
NPI Status: Active since November 13, 2006
Contact Information
1119 N WISCONSIN ST
PORT WASHINGTON, WI
ZIP 53074
Phone: (262) 284-5892
Fax: (262) 284-1612
- Organization
- Skilled Nursing Facility
- CLIA Number: 52D0878947
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 11-08-2025
About HERITAGE NURSING AND REHABILITATION CENTER
This page provides the complete NPI Profile along with additional information for Heritage Nursing And Rehabilitation Center, a provider established in Port Washington, Wisconsin operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1407927148 assigned on November 2006. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Heritage Nursing And Rehabilitation Center. The authorized official of this NPI record is Donna Jo Maassen (Director Of Compliance)
- NPI
- 1407927148
- Provider Legal Name
- EXTENDICARE HOMES, INC.
- Other Organization Name
- HERITAGE NURSING AND REHABILITATION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074
- Location Phone
- (262) 284-5892
- Location Fax
- (262) 284-1612
- Mailing Address
- 111 W MICHIGAN ST MILWAUKEE, WI 53203
- Mailing Phone
- (414) 908-8119
- Mailing Fax
- (262) 284-1612
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2006
- Last Update Date
- 04-07-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20182700 | MEDICAID (05) | WI | |
| 525586 | MEDICARE OSCAR/CERTIFICATION (06) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0878947
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- November 09, 2023
- Certificate Expiration Date
- November 08, 2025
- Laboratory Director
- WUA VANG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heritage Nursing And Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for HERITAGE NURSING AND REHABILITATION CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 9 | 2 | 7 | 1 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 18 | 2 | 14 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 8 + 2 + 1 + 4 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1407927148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144354804 | SHERI L BUNYAN PT Individual | Physical Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1801018759 | MS. ANGELLA ADELLE SIEGEL OTR Individual | Occupational Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1891917985 | MRS. JENNIFER LYNN LABONTE OTR Individual | Occupational Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1962614131 | LINDA ANN PHILLIPS OT Individual | Occupational Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1386858686 | CHRISTIE NICOLE USHER MSCF-SLP Individual | Speech-Language Pathologist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 285-5892 |
| 1740494764 | MARY LARSON WEBER P.T. Individual | Physical Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 285-5892 |
| 1154537819 | JO KOWALSKI Individual | Speech-Language Pathologist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 285-5892 |
| 1750565487 | JENNIFER BROOKE SHIMON OTR Individual | Occupational Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1962674101 | MRS. ALICIA LYNN SCHMID PTA Individual | Physical Therapy Assistant | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1861668162 | MRS. VICTORIA ANN CANTRALL COTA Individual | Occupational Therapy Assistant | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1568611507 | JOYCE LEWIS Individual | Occupational Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1386882900 | ANGELA T.M DAMROW PTA Individual | Physical Therapy Assistant | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1457649352 | MR. ANTHONY JACK ETTMAYER JR. PT Individual | Physical Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1598977613 | MRS. BETH ANN ANDERSON M.S.CCC-SLP Individual | Speech-Language Pathologist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1730431990 | JENNIFER WIEDMEYER C.F.,SLP Individual | Speech-Language Pathologist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1619316502 | MISS BRITTNEY NICHOLE YUNTO D.P.T. Individual | Physical Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1295174100 | MRS. GRETEL WEISKOPF PTA Individual | Physical Therapy Assistant | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1235538851 | MEGHAN CLEEREMAN Individual | Physical Therapy Assistant | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1205228525 | FMG NORTH WISCONSIN STREET WISCONSIN LLC Organization | Skilled Nursing Facility | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
| 1144698531 | BRIANNA RAE ZIMMERMAN Individual | Physical Therapist | 1119 N WISCONSIN ST PORT WASHINGTON, WI 53074 (262) 284-5892 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407927148, enumerated in the NPI registry as an "organization" on November 13, 2006
The provider is located at 1119 N Wisconsin St Port Washington, Wi 53074 and the phone number is (262) 284-5892
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0878947 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.