ODD FELLOW REBEKAH HOME ASSOCIATION INC
NPI 1124006739
Skilled Nursing Facility in Green Bay, WI

Active since January 04, 2006
2/5
Overall Rating
1207 S JACKSON ST, GREEN BAY, WI 54301(920) 593-1640(920) 435-5031 Get Directions Write a Review

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

About Odd Fellow Rebekah Home Association Inc NPPES

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

ODD FELLOW REBEKAH HOME ASSOCIATION INC (NPI 1124006739) is a healthcare organization registered as a skilled nursing facility in Green Bay, Wisconsin and active in the NPI registry since January 2006. The organization lists Dan-a J Kohn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124006739
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameODD FELLOW REBEKAH HOME ASSOCIATION INC
Location Address1207 S JACKSON STGreen Bay, WI 54301-3037
Mailing Address1207 S Jackson StGreen Bay, WI 54301-3037 · (920) 593-1640 · Fax (920) 435-5031
Fax(920) 435-5031
Organization SubpartNo
Authorized OfficialDan-a J KohnCeo · (920) 593-1640
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
NPI 1124006739 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 · 2544
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.
1207 S JACKSON ST, Green Bay, WI 54301

Other Identifiers 1

Medicaid20151600WI

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Odd Fellow Home (CMS certification number 525559), from CMS Care Compare.

Odd Fellow Home

Nursing home · Green Bay, WI
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number525559
Certified Beds88 beds50 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1995
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.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
101.33
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 2.5 · LPN 0.8 · RN 0.73
4.04 hrs per resident per day
Weekend Nurse Staffing
3.66 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
3
Substantiated Complaints
3
Infection-Control Citations
0
Fines
22 totaling $127,397.02
Medicare Payment Denials
0
Total Penalties
22
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 Therapist
1207 S JACKSON ST
GREEN BAY, WI 54301
Occupational Therapy Assistant
1207 S JACKSON ST
GREEN BAY, WI 54301

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 Odd Fellow Rebekah Home Association Inc's NPI number?

The NPI number for Odd Fellow Rebekah Home Association Inc is 1124006739. It was assigned to this organization in the NPPES registry on January 4, 2006.

Where is Odd Fellow Rebekah Home Association Inc located?

Odd Fellow Rebekah Home Association Inc is located at 1207 S Jackson St, Green Bay, WI 54301. The listed phone number is (920) 593-1640.

What is Odd Fellow Rebekah Home Association Inc's specialty?

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

Is Odd Fellow Rebekah Home Association Inc a Medicare-certified nursing home?

Yes. Odd Fellow Home is a Medicare-certified nursing home with 88 certified beds.

What quality rating does Odd Fellow Rebekah Home Association Inc have?

CMS rates Odd Fellow Home 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Odd Fellow Rebekah Home Association Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz, Security Health Plan and UnitedHealthcare list Odd Fellow Rebekah Home Association 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 Odd Fellow Rebekah Home Association Inc was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.