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

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  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RICK LEE JOHNSON

Authorized Official Title
CEO
Authorized Official Phone
(414) 258-1814

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
20125300MEDICAID (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.
1609937788
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260918314716
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 = 88

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
1104092485MS. BEKKI LYNN SCHNOLL OTR
Individual
Occupational Therapist10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 258-1814
1821264128 GAIL E GRAHN PTA
Individual
Physical Therapy Assistant10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 258-1814
1053562983 SARAH KLEWIN PTA
Individual
Physical Therapy Assistant10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 259-8200
1427471614 ANNA LOMBARDO
Individual
Speech-Language Pathologist10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 258-1814
1558880864 ROSS GEORGE PTA
Individual
Physical Therapy Assistant10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 258-1814
1063919934ADVANCED WOUND CARE SOLUTIONS LLC
Organization
Surgery10101 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 & Rehabilitation10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 259-6310
1679111793 SHANE SLAASTED PTA
Individual
Physical Medicine & Rehabilitation10101 W WISCONSIN AVE
MILWAUKEE, WI 53226
(414) 259-6310
1801215355MRS. KIM M JONAS NP
Individual
Nurse Practitioner10101 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
1760082614MR. ROBERT CHARLES THURLBY PT, DPT
Individual
Physical Therapist10101 W WISCONSIN AVE
MILWAUKEE, WI 53226
(414) 259-6310
1174818207 KRISTEN E LOEPER SLP
Individual
Speech-Language Pathologist10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 259-4549
1407922776ST. CAMILLUS HEALTH CENTER, INC.
Organization
Home Health10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 258-2418
1386376689 ALESHEA N HER CFY-SLP
Individual
Speech-Language Pathologist10101 W WISCONSIN AVE
MILWAUKEE, WI 53226
(414) 259-6310
1851670343 BERNADETTE BEAUMONT NP
Individual
Nurse Practitioner10101 W WISCONSIN AVE
WAUWATOSA, WI 53226
(414) 454-8460
1932682473MRS. TRACY A BOLTON APNP
Individual
Nurse Practitioner10101 W WISCONSIN AVE
MILWAUKEE, WI 53226
(414) 454-8460
1912696931 JOSE DAVID DELGADILLO
Individual
Physical Therapy Assistant10101 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].
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.