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EVERGREEN RETIREMENT COMMUNITY, INC.
NPI 1144213281
Skilled Nursing Facility in Oshkosh, WI

Active since August 24, 2005CLIA 52D0701379 · Waiver
5/5
Overall Rating
1130 N WESTFIELD ST, OSHKOSH, WI 54902(920) 233-2340(920) 237-2109 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Evergreen Retirement Community, Inc. NPPES

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

EVERGREEN RETIREMENT COMMUNITY, INC. (NPI 1144213281) is a healthcare organization registered as a skilled nursing facility in Oshkosh, Wisconsin and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Peggy F Bellin, Health Center Administrator, as its authorized official.

NPPES Registry Identity

NPI1144213281
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN RETIREMENT COMMUNITY, INC.
Location Address1130 N WESTFIELD STOshkosh, WI 54902-3217
Mailing Address1130 N Westfield StOshkosh, WI 54902-3217 · (920) 233-2340 · Fax (920) 237-2109
Phone(920) 233-2340
Fax(920) 237-2109
Organization SubpartNo
Authorized OfficialPeggy F BellinHealth Center Administrator · (920) 237-6200
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1144213281 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 · 2057
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.

1130 N WESTFIELD ST, Oshkosh, WI 54902
Open in Google Maps ↗

Other Identifiers 1

Medicaid20136400WI

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), HealthPartners and more.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 52D0701379

Evergreen Retirement Community · Oshkosh, WI
Active · expires Aug 31, 2026
CLIA Number52D0701379
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJane Peters
Laboratory Phone(920) 233-2340
Laboratory LocationEvergreen Retirement Community1130 N Westfield St, Oshkosh, WI 54902
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Evergreen Health Center (CMS certification number 525647), from CMS Care Compare.

Evergreen Health Center

Nursing home · Oshkosh, WI
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number525647
Certified Beds80 beds56 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1999
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
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.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
13.33
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 3.43 · LPN 0.2 · RN 1.34
4.98 hrs per resident per day
Weekend Nurse Staffing
4.43 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
53.1%
Registered Nurse Turnover
17.6%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $650.00
Medicare Payment Denials
0
Total Penalties
1
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 20

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

MR. JEREMY VILS PTA
Physical Therapy Assistant
1130 N WESTFIELD ST
OSHKOSH, WI 54902
Winnebago County (920) 232-0128
MICHAEL PHILIPPI
Physical Therapy Assistant
1130 N WESTFIELD ST
OSHKOSH, WI 54902
Winnebago County (920) 233-2340
MEAGHAN REDDY SLP
Speech-Language Pathologist
1130 N WESTFIELD ST
OSHKOSH, WI 54902
Winnebago County (920) 237-2163
CHRISTINE REYNOLDS COTA
Occupational Therapy Assistant
1130 N WESTFIELD ST
OSHKOSH, WI 54902
Winnebago County (920) 232-0128
KYLE D RASMUS PTA
Specialist
1130 N WESTFIELD ST
OSHKOSH, WI 54902
Winnebago County (920) 232-0128
LAURIE BURTON
Speech-Language Pathologist
1130 N WESTFIELD ST
OSHKOSH, WI 54902
Winnebago County (920) 237-2164
LORI BOELTER COTA
Occupational Therapy Assistant
1130 N WESTFIELD ST
OSHKOSH, WI 54902
Winnebago County (920) 237-2163
REBECCA WELCH
Occupational Therapist
1130 N WESTFIELD ST
OSHKOSH, WI 54902
Winnebago County (920) 237-2164

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 Evergreen Retirement Community, Inc.'s NPI number?

The NPI number for Evergreen Retirement Community, Inc. is 1144213281. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Evergreen Retirement Community, Inc. located?

Evergreen Retirement Community, Inc. is located at 1130 N Westfield St, Oshkosh, WI 54902. The listed phone number is (920) 233-2340.

What is Evergreen Retirement Community, Inc.'s specialty?

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

Does Evergreen Retirement Community, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0701379) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Evergreen Retirement Community, Inc. a Medicare-certified nursing home?

Yes. Evergreen Health Center is a Medicare-certified nursing home with 80 certified beds.

What quality rating does Evergreen Retirement Community, Inc. have?

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

What insurance does Evergreen Retirement Community, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz list Evergreen Retirement Community, 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 Evergreen Retirement Community, Inc. was last updated on July 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.