THE PINES POST ACUTE AND MEMORY CARE
NPI 1104242999
Skilled Nursing Facility in Clintonville, WI

Active since March 17, 2014
4/5
Overall Rating
1625 E MAIN ST, CLINTONVILLE, WI 54929(715) 823-3135(715) 823-1503 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2021, Jun 21, 2018 (2 updates tracked since 2018).

About The Pines Post Acute And Memory Care NPPES

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

THE PINES POST ACUTE AND MEMORY CARE (NPI 1104242999) is a healthcare organization registered as a skilled nursing facility in Clintonville, Wisconsin and active in the NPI registry since March 2014. The organization lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1104242999
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLOVERLEAF HEALTHCARE LLC
Location Address1625 E MAIN STClintonville, WI 54929
Mailing Address1625 E Main StClintonville, WI 54929-8407 · (715) 823-3135 · Fax (715) 823-1503
Fax(715) 823-1503
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateMarch 17, 2014
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
NPI 1104242999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
1625 E MAIN ST, Clintonville, WI 54929

Other Names 1

Doing Business AsThe Pines Post Acute And Memory Care

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for The Pines Post Acute And Memory Care (CMS certification number 525497), from CMS Care Compare.

The Pines Post Acute And Memory Care

Nursing home · Clintonville, WI
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number525497
Certified Beds50 beds47 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
22.67
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 2.27 · LPN 0.7 · RN 0.37
3.35 hrs per resident per day
Weekend Nurse Staffing
2.8 hrs per resident per day
Physical Therapist Staffing
0.13 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
33.3%
Registered Nurse Turnover
16.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 7

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

Physical Therapist
1625 E MAIN ST
CLINTONVILLE, WI 54929
Speech-Language Pathologist
1625 E MAIN ST
CLINTONVILLE, WI 54929
Physical Therapy Assistant
1625 E MAIN ST
CLINTONVILLE, WI 54929
Occupational Therapy Assistant
1625 E MAIN ST
CLINTONVILLE, WI 54929
Physical Therapy Assistant
1625 E MAIN ST
CLINTONVILLE, WI 54929
Skilled Nursing Facility
1625 E MAIN ST, VILLAGE OF EMBARRASS
CLINTONVILLE, WI 54929
Occupational Therapist
1625 E MAIN ST
CLINTONVILLE, WI 54929

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 Cloverleaf Healthcare LLC's NPI number?

The NPI number for Cloverleaf Healthcare LLC is 1104242999. It was assigned to this organization in the NPPES registry on March 17, 2014. The provider is doing business as The Pines Post Acute And Memory Care.

Where is Cloverleaf Healthcare LLC located?

Cloverleaf Healthcare LLC is located at 1625 E Main St, Clintonville, WI 54929. The listed phone number is (715) 823-3135.

What is Cloverleaf Healthcare LLC's specialty?

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

Is Cloverleaf Healthcare LLC a Medicare-certified nursing home?

Yes. The Pines Post Acute And Memory Care is a Medicare-certified nursing home with 50 certified beds.

What quality rating does Cloverleaf Healthcare LLC have?

CMS rates The Pines Post Acute And Memory Care 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Cloverleaf Healthcare LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Cloverleaf Healthcare LLC 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 Cloverleaf Healthcare LLC was last updated on September 19, 2023. 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.