LAKE COUNTRY HEALTH & REHABILITATION
NPI 1710376512
Skilled Nursing Facility in Summit, WI
NPI Status: Active since January 16, 2015
Contact Information
2195 N SUMMIT VILLAGE WAY
SUMMIT, WI
ZIP 53066
Phone: (262) 567-4662
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 52D2006361
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 04-30-2026
About LAKE COUNTRY HEALTH & REHABILITATION
This page provides the complete NPI Profile along with additional information for Lake Country Health & Rehabilitation, a provider established in Summit, Wisconsin operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1710376512 assigned on January 2015. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Lake Country Health & Rehabilitation. The authorized official of this NPI record is David Keating (Authorized Official)
- NPI
- 1710376512
- Provider Legal Name
- FMG NORTH SUMMIT VILLAGE WAY WISCONSIN LLC
- Other Organization Name
- LAKE COUNTRY HEALTH & REHABILITATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2195 N SUMMIT VILLAGE WAY SUMMIT, WI 53066
- Location Phone
- (262) 567-4662
- Mailing Address
- 2195 N SUMMIT VILLAGE WAY SUMMIT, WI 53066
- Mailing Phone
- (262) 567-4662
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2015
- Last Update Date
- 01-16-2015
- 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:
- 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
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 |
|---|---|---|---|
| 525702 | 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
- 52D2006361
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- May 01, 2024
- Certificate Expiration Date
- April 30, 2026
- Laboratory Director
- BECKY STEINKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Country 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 LAKE COUNTRY HEALTH & REHABILITATION
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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 | 7 | 1 | 0 | 3 | 7 | 6 | 5 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 7 | 12 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 7 + 1 + 2 + 5 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1710376512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255572459 | KRISTIN CLEVENSTINE OTR Individual | Occupational Therapist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 560-2400 |
| 1811222698 | CAREY LYNN ALBER MOTR Individual | Occupational Therapist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1740515246 | JAIME M TROEDEL Individual | Skilled Nursing Facility | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1710290135 | MS. SAMANTHA SPORLEDER OTA Individual | Occupational Therapy Assistant | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 560-2400 |
| 1194038513 | MS. ASHLEY WOLFMAN PTA Individual | Physical Therapy Assistant | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 560-2400 |
| 1942519996 | LYNN MARIE VESEL PT Individual | Physical Therapist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 560-2400 |
| 1720364565 | CAROLINE CIPRIANO HANNEMAN Individual | Physical Therapist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 560-2426 |
| 1467749945 | SHERRI BOURDO Individual | Physical Therapist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 560-2423 |
| 1154762912 | MISS ELIZABETH WIDICUS OT Individual | Occupational Therapist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 560-2426 |
| 1740424779 | JANN FUJIMOTO M.S. CCC-SLP Individual | Speech-Language Pathologist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 506-2423 |
| 1033637889 | NSH SUMMIT LLC Organization | Skilled Nursing Facility | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1346621018 | ALLYSON WASKOSKY MSOT Individual | Occupational Therapist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1669953329 | DANIELLE LOREN JAEGER DPT Individual | Physical Therapist | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1386127728 | NICOLE FELKL PTA Individual | Physical Therapy Assistant | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1417421223 | POST ACUTE CARE SPECIALISTS, LLC Organization | Internal Medicine | 2195 N SUMMIT VILLAGE WAY SUMMIT, WI 53066 (262) 955-7787 |
| 1780270546 | ABIGAIL ELIZABETH KOEPKE Individual | Occupational Therapy Assistant | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1801557426 | ANA SPRECHER Individual | Physical Therapy Assistant | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1992531917 | KOURTNEY KAUFMAN COTA/L Individual | Occupational Therapy Assistant | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
| 1558181420 | SARAH STANISLAWSKI Individual | Occupational Therapy Assistant | 2195 N SUMMIT VILLAGE WAY OCONOMOWOC, WI 53066 (262) 567-4662 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710376512, enumerated in the NPI registry as an "organization" on January 16, 2015
The provider is located at 2195 N Summit Village Way Summit, Wi 53066 and the phone number is (262) 567-4662
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Molina Healthcare, 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 52D2006361 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 January 16, 2015. 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.