LEDGEVIEW NURSING CENTER
NPI 1093170813
Skilled Nursing Facility in De Pere, WI

Active since December 21, 2015
3737 DICKINSON RD, DE PERE, WI 54115(920) 336-7733(920) 336-3697 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ledgeview Nursing Center NPPES

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

LEDGEVIEW NURSING CENTER (NPI 1093170813) is a healthcare organization registered as a skilled nursing facility in De Pere, Wisconsin and active in the NPI registry since December 2015. The organization lists Karen Marie Trzebiatowski, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1093170813
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRYSTAL FOUNTAINS REHABILITATION CENTER LLC
Location Address3737 DICKINSON RDDe Pere, WI 54115-8797
Mailing Address3450 Bridlewood DrPlover, WI 54467-3892 · (715) 342-9100 · Fax (715) 342-9101
Fax(920) 336-3697
Organization SubpartNo
Authorized OfficialKaren Marie TrzebiatowskiDirector Of Operations · (715) 340-1479
Enumeration DateDecember 21, 2015
NPI 1093170813 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 · 3105
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.

3737 DICKINSON RD, De Pere, WI 54115

Other Names 1

Doing Business AsLedgeview Nursing Center

Other Identifiers 2

Medicare OSCAR/certification525515WI
Medicaid20171900WI

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
3737 DICKINSON RD
DE PERE, WI 54115

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 Crystal Fountains Rehabilitation Center LLC's NPI number?

The NPI number for Crystal Fountains Rehabilitation Center LLC is 1093170813. It was assigned to this organization in the NPPES registry on December 21, 2015. The provider is doing business as Ledgeview Nursing Center.

Where is Crystal Fountains Rehabilitation Center LLC located?

Crystal Fountains Rehabilitation Center LLC is located at 3737 Dickinson Rd, De Pere, WI 54115. The listed phone number is (920) 336-7733.

What is Crystal Fountains Rehabilitation Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Fountains Rehabilitation Center LLC was last updated on December 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.