JULIETTE MANOR
NPI 1023154929
Skilled Nursing Facility in Berlin, WI

Active since January 29, 2007CLIA Certified · 2 labs
3/5
Overall Rating
482 OAK ST, BERLIN, WI 54923(920) 361-3092(920) 361-3438 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Juliette Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIETTE MANOR (NPI 1023154929) is a healthcare organization registered as a skilled nursing facility in Berlin, Wisconsin and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023154929
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHEDACARE MEDICAL CENTER - BERLIN, INC.
Location Address482 OAK STBerlin, WI 54923-1204
Mailing Address482 Oak StBerlin, WI 54923-1204 · (920) 361-3092 · Fax (920) 361-3438
Fax(920) 361-3438
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
✔ NPI 1023154929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in WI · 1102
Definition
(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.
482 OAK ST, Berlin, WI 54923

Other Names 1

Doing Business AsJuliette Manor

Other Identifiers 1

Medicaid20126400WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0397611

Thedacare Medical Center - Berlin, Inc Dba Juliette Manor · Berlin, WI
Active · expires Aug 31, 2028
CLIA Number52D0397611
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. Michelle Lopez
Laboratory Phone(920) 361-3092
Laboratory LocationThedacare Medical Center - Berlin, Inc Dba Juliette Manor482 Oak St, Berlin, WI 54923
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 52D0397602

Thedacare Medical Center - Berlin Dba Berlin Memorial Hospital · Berlin, WI
Active · expires Oct 21, 2026
CLIA Number52D0397602
Laboratory TypeHospital
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorEric Destrampe
Laboratory Phone(920) 361-5568
Laboratory LocationThedacare Medical Center - Berlin Dba Berlin Memorial Hospital225 Memorial Dr, Berlin, WI 54923
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Juliette Manor (CMS certification number 525286), from CMS Care Compare.

Juliette Manor

Nursing home · Berlin, WI
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number525286
Certified Beds37 beds35 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 1977
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
34
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.79 · LPN 0.22 · RN 1.75
4.76 hrs per resident per day
Weekend Nurse Staffing
4.01 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
58.2%
Registered Nurse Turnover
55%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
6
Infection-Control Citations
2
Fines
2 totaling $12,902.50
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
482 OAK ST
BERLIN, WI 54923
Occupational Therapist
482 OAK ST
BERLIN, WI 54923

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thedacare Medical Center - Berlin, Inc.'s NPI number?

The NPI number for Thedacare Medical Center - Berlin, Inc. is 1023154929. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Juliette Manor.

Where is Thedacare Medical Center - Berlin, Inc. located?

Thedacare Medical Center - Berlin, Inc. is located at 482 Oak St, Berlin, WI 54923. The listed phone number is (920) 361-3092.

What is Thedacare Medical Center - Berlin, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Thedacare Medical Center - Berlin, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Thedacare Medical Center - Berlin, Inc. a Medicare-certified nursing home?

Yes. Juliette Manor is a Medicare-certified nursing home with 37 certified beds.

What quality rating does Thedacare Medical Center - Berlin, Inc. have?

CMS rates Juliette Manor 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Thedacare Medical Center - Berlin, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer list Thedacare Medical Center - Berlin, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thedacare Medical Center - Berlin, Inc. was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.