HARBOR HAVEN HEALTH & REHABILITATION
NPI 1659358323
Skilled Nursing Facility in Fond Du Lac, WI
NPI Status: Active since December 23, 2005
Contact Information
459 E 1ST ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-3543
Fax: (920) 929-7509
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 52D0894337
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 11-13-2026
About HARBOR HAVEN HEALTH & REHABILITATION
This page provides the complete NPI Profile along with additional information for Harbor Haven Health & Rehabilitation, a provider established in Fond Du Lac, Wisconsin operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1659358323 assigned on December 2005. The practitioner's primary taxonomy code is 314000000X with license number 2437 (WI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Harbor Haven Health & Rehabilitation. The authorized official of this NPI record is Mark Radmer (Administrator)
- NPI
- 1659358323
- Provider Legal Name
- FOND DU LAC COUNTY
- Other Organization Name
- HARBOR HAVEN HEALTH & REHABILITATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 459 E 1ST ST FOND DU LAC, WI 54935
- Location Phone
- (920) 929-3543
- Location Fax
- (920) 929-7509
- Mailing Address
- 459 E 1ST ST FOND DU LAC, WI 54935
- Mailing Phone
- (920) 929-3543
- Mailing Fax
- (920) 929-7509
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-23-2005
- Last Update Date
- 07-16-2019
- 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.
- 2437
- 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:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- 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
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- 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
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 |
|---|---|---|---|
| 20130800 | 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
- 52D0894337
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- November 14, 2024
- Certificate Expiration Date
- November 13, 2026
- Laboratory Director
- MS. KAYLIN PIERPONT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Harbor Haven Health & Rehabilitation 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 HARBOR HAVEN HEALTH & REHABILITATION
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 5 | 9 | 3 | 5 | 8 | 3 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 6 | 5 | 16 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 6 + 5 + 1 + 6 + 3 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1659358323 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1053458935 | FOND DU LAC COUNTY Organization | Community/Behavioral Health | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3500 |
| 1215152541 | RONALD KLATT Individual | Counselor | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-7042 |
| 1710102041 | LUANNE LAIB Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3794 |
| 1457576829 | PAMELA GREMMINGER Individual | Licensed Practical Nurse | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3537 |
| 1285859678 | JOSEPH HANEY PSY.D. Individual | Psychologist | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3527 |
| 1174748495 | KATHRYN KEDINGER Individual | Registered Nurse | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3530 |
| 1013132422 | JEANNE HELLMAN Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-7042 |
| 1518182856 | MARY JANE LEU Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3549 |
| 1578788436 | JUNE STAEHLER Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3551 |
| 1346465366 | MARY ELLEN MCMEEN Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3548 |
| 1417172487 | GERI RETTLER Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-7052 |
| 1639394497 | DIANE FETT Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-6891 |
| 1396960340 | KRISTINE NEHRING PSY.D. Individual | Psychologist | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3556 |
| 1194940130 | JAGADEESWARA RAO MUSUNURU M.D. Individual | Psychiatry & Neurology (Psychiatry) | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3502 |
| 1558586412 | DEBORAH ANN SERWE Individual | Registered Nurse | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-6823 |
| 1023233871 | KATHLEEN ARPKE Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (929) 906-5131 |
| 1265658181 | MARY JO RYAN Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 906-5130 |
| 1558587485 | JOANNE SCHNEIDER Individual | Social Worker | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-3497 |
| 1285850198 | HEATHER REILLEY Individual | Case Manager/Care Coordinator | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-0163 |
| 1952527897 | ANN STEFFEN Individual | Case Manager/Care Coordinator | 459 E 1ST ST FOND DU LAC, WI 54935 (920) 929-7617 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659358323, enumerated in the NPI registry as an "organization" on December 23, 2005
The provider is located at 459 E 1st St Fond Du Lac, Wi 54935 and the phone number is (920) 929-3543
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Common Ground. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0894337 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 December 23, 2005. 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.