ST. CAMILLUS HEALTH CENTER, INC.
NPI 1609937788
Skilled Nursing Facility in Wauwatosa, WI
NPI Status: Active since December 13, 2006
Contact Information
10101 W WISCONSIN AVE
WAUWATOSA, WI
ZIP 53226
Phone: (414) 258-1814
Fax: (414) 259-7999
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 52D2194670
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-01-2026
About ST. CAMILLUS HEALTH CENTER, INC.
This page provides the complete NPI Profile along with additional information for St. Camillus Health Center, Inc., a provider established in Wauwatosa, Wisconsin operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1609937788 assigned on December 2006. The practitioner's primary taxonomy code is 314000000X with license number 3074 (WI). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Rick Lee Johnson (Ceo)
- NPI
- 1609937788
- Provider Name
- ST. CAMILLUS HEALTH CENTER, INC.
- Entity Type
- Organization
- Location Address
- 10101 W WISCONSIN AVE WAUWATOSA, WI 53226
- Location Phone
- (414) 258-1814
- Location Fax
- (414) 259-7999
- Mailing Address
- 10101 W WISCONSIN AVE WAUWATOSA, WI 53226
- Mailing Phone
- (414) 258-1814
- Mailing Fax
- (414) 259-7999
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 12-30-2024
- 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
- License No.
- 3074
- License State
- WI
- 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:
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
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 |
---|---|---|---|
20125300 | MEDICAID (05) | 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
- 52D2194670
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 02, 2024
- Certificate Expiration Date
- October 01, 2026
- Laboratory Director
- MS. COURTNEY N. WILSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Camillus Health Center, Inc. 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 ST. CAMILLUS HEALTH CENTER, INC.
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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 | 6 | 0 | 9 | 9 | 3 | 7 | 7 | 8 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 0 | 9 | 18 | 3 | 14 | 7 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 0 + 9 + 1 + 8 + 3 + 1 + 4 + 7 + 1 + 6 + 24 = 72 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 72 = 8 | 8 |
The NPI number 1609937788 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 |
---|---|---|---|
1912173444 | RICHARD PETER SCHULTZ PHYSICAL THERAPIST Individual | Physical Therapist (Geriatrics) | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 259-7734 |
1740456219 | KAREN L BARNES PT Individual | Physical Therapist (Geriatrics) | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (424) 258-1814 |
1104092485 | MS. BEKKI LYNN SCHNOLL OTR Individual | Occupational Therapist | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 258-1814 |
1821264128 | GAIL E GRAHN PTA Individual | Physical Therapy Assistant | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 258-1814 |
1053562983 | SARAH KLEWIN PTA Individual | Physical Therapy Assistant | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 259-8200 |
1427471614 | ANNA LOMBARDO Individual | Speech-Language Pathologist | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 258-1814 |
1558880864 | ROSS GEORGE PTA Individual | Physical Therapy Assistant | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 258-1814 |
1063919934 | ADVANCED WOUND CARE SOLUTIONS LLC Organization | Surgery | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (314) 560-7057 |
1316223340 | KATIE LAMMI NP Individual | Nurse Practitioner (Family) | 10101 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 454-8460 |
1184261943 | LOGAN ALEXANDER SARGE Individual | Physical Medicine & Rehabilitation | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 259-6310 |
1679111793 | SHANE SLAASTED PTA Individual | Physical Medicine & Rehabilitation | 10101 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 259-6310 |
1801215355 | MRS. KIM M JONAS NP Individual | Nurse Practitioner | 10101 W WISCONSIN AVE MILWAUKEE, WI 53226 (262) 238-3882 |
1053809723 | JULIANA BUDD APNP Individual | Nurse Practitioner (Family) | 10101 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 777-3750 |
1760082614 | MR. ROBERT CHARLES THURLBY PT, DPT Individual | Physical Therapist | 10101 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 259-6310 |
1174818207 | KRISTEN E LOEPER SLP Individual | Speech-Language Pathologist | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 259-4549 |
1407922776 | ST. CAMILLUS HEALTH CENTER, INC. Organization | Home Health | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 258-2418 |
1386376689 | ALESHEA N HER CFY-SLP Individual | Speech-Language Pathologist | 10101 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 259-6310 |
1851670343 | BERNADETTE BEAUMONT NP Individual | Nurse Practitioner | 10101 W WISCONSIN AVE WAUWATOSA, WI 53226 (414) 454-8460 |
1932682473 | MRS. TRACY A BOLTON APNP Individual | Nurse Practitioner | 10101 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 454-8460 |
1912696931 | JOSE DAVID DELGADILLO Individual | Physical Therapy Assistant | 10101 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 259-6310 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609937788, enumerated in the NPI registry as an "organization" on December 13, 2006
The provider is located at 10101 W Wisconsin Ave Wauwatosa, Wi 53226 and the phone number is (414) 258-1814
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D2194670 for a "assisted living 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 December 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].
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