EDGERTON CARE CENTER INC.
NPI 1063756286
Skilled Nursing Facility in Edgerton, WI

Active since November 15, 2012CLIA 52D1063387 · Waiver
313 STOUGHTON RD, EDGERTON, WI 53534(608) 884-1330(608) 884-1331 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgerton Care Center Inc. NPPES

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

EDGERTON CARE CENTER INC. (NPI 1063756286) is a healthcare organization registered as a skilled nursing facility in Edgerton, Wisconsin and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Stephanie Sherman, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1063756286
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWISCONSIN ILLINOIS SENIOR HOUSING INC.
Location Address313 STOUGHTON RDEdgerton, WI 53534-1132
Mailing Address313 Stoughton RdEdgerton, WI 53534-1132 · (608) 884-1330 · Fax (608) 884-1331
Fax(608) 884-1331
Organization SubpartNo
Authorized OfficialStephanie ShermanChief Operating Officer · (303) 980-0611
Enumeration DateNovember 15, 2012
Last NPPES UpdateMay 13, 2020
NPPES CertifiedMay 13, 2020
NPI 1063756286 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 · 2235
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.
313 STOUGHTON RD, Edgerton, WI 53534

Other Names 1

Other NameEdgerton Care Center Inc.

Accepted 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 52D1063387

Edgerton Care Center · Edgerton, WI
Active · expires Jan 10, 2027
CLIA Number52D1063387
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorCarmen Clark
Laboratory Phone(608) 884-1332
Laboratory LocationEdgerton Care Center313 Stoughton Rd, Edgerton, WI 53534
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.

Occupational Therapist
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapy Assistant
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapist
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapy Assistant
313 STOUGHTON RD
EDGERTON, WI 53534
Occupational Therapy Assistant
313 STOUGHTON RD
EDGERTON, WI 53534
Skilled Nursing Facility
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapist
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapist
313 STOUGHTON RD
EDGERTON, WI 53534

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 Wisconsin Illinois Senior Housing Inc.'s NPI number?

The NPI number for Wisconsin Illinois Senior Housing Inc. is 1063756286. It was assigned to this organization in the NPPES registry on November 15, 2012. The provider is also known as Edgerton Care Center Inc..

Where is Wisconsin Illinois Senior Housing Inc. located?

Wisconsin Illinois Senior Housing Inc. is located at 313 Stoughton Rd, Edgerton, WI 53534. The listed phone number is (608) 884-1330.

What is Wisconsin Illinois Senior Housing Inc.'s specialty?

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

Does Wisconsin Illinois Senior Housing Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1063387) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wisconsin Illinois Senior Housing Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare Health Plans and Quartz list Wisconsin Illinois Senior Housing 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 Wisconsin Illinois Senior Housing Inc. was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.