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BROWN COUNTY COMMUNITY TREATMENT CENTER-BAYSHORE VILLAGE
NPI 1033214150
Skilled Nursing Facility in Green Bay, WI

Active since September 13, 2006CLIA 52D0662045 · Waiver
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311(920) 391-4700(920) 391-4870 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brown County Community Treatment Center-bayshore Village NPPES

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

BROWN COUNTY COMMUNITY TREATMENT CENTER-BAYSHORE VILLAGE (NPI 1033214150) is a healthcare organization registered as a skilled nursing facility in Green Bay, Wisconsin and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Kara Gruber, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033214150
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTY OF BROWN
Location Address3150 GERSHWIN DRIVEGreen Bay, WI 54311-5859
Mailing Address3150 Gershwin DriveGreen Bay, WI 54311-5859 · (920) 391-4700 · Fax (920) 391-4870
Phone(920) 391-4700
Fax(920) 391-4870
Organization SubpartYes
Authorized OfficialKara GruberAdministrator · (920) 391-4700
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMay 10, 2024
NPPES CertifiedMay 10, 2024
✔ NPI 1033214150 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 · 2405
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.
3150 GERSHWIN DRIVE, Green Bay, WI 54311
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Other Names 1

Doing Business AsBrown County Community Treatment Center-bayshore Village

Other Identifiers 1

Medicaid20159800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 52D0662045

Brown County Community Treatment Center · Green Bay, WI
Active · expires Apr 30, 2028
CLIA Number52D0662045
Laboratory TypeCounty Clinic
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorSamantha Behling
Laboratory Phone(920) 391-4804
Laboratory LocationBrown County Community Treatment Center3150 Gershwin Dr, Green Bay, WI 54311
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

COUNTY OF BROWN
Case Management
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Brown County (920) 391-4839
SEANAH A CARTER APSW
Social Worker (Clinical)
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Brown County (920) 391-4700
STEVEN G JANSEN MSW
Social Worker (Clinical)
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Brown County (920) 391-6940
COUNTY OF BROWN
Case Management
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Brown County (920) 391-4839
MARY MICELI-WINK CSAC
Counselor (Addiction (Substance Use Disorder))
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Brown County (920) 391-6940
SUSAN F ALBERTSON LPN
Licensed Practical Nurse
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Brown County (920) 391-6940
COUNTY OF BROWN
Case Management
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Brown County (920) 391-4839
COUNTY OF BROWN
Case Management
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Brown County (920) 391-4839

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 County Of Brown's NPI number?

The NPI number for County Of Brown is 1033214150. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Brown County Community Treatment Center-Bayshore Village.

Where is County Of Brown located?

County Of Brown is located at 3150 Gershwin Drive, Green Bay, WI 54311. The listed phone number is (920) 391-4700.

What is County Of Brown's specialty?

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

Does County Of Brown hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0662045) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does County Of Brown accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list County Of Brown 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 County Of Brown was last updated on May 10, 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.