PINE VALLEY COMMUNITY VILLAGE
NPI 1144229055
Skilled Nursing Facility in Richland Center, WI

Active since July 21, 2005CLIA 52D0684455 · Waiver
5/5
Overall Rating
25951 CIRCLE VIEW DR, RICHLAND CENTER, WI 53581(608) 647-2138(608) 647-8955 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Valley Community Village NPPES

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

PINE VALLEY COMMUNITY VILLAGE (NPI 1144229055) is a healthcare organization registered as a skilled nursing facility in Richland Center, Wisconsin and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Shaponda Jimerson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1144229055
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTY OF RICHLAND
Location Address25951 CIRCLE VIEW DRRichland Center, WI 53581-4013
Mailing Address25951 Circle View DrRichland Center, WI 53581-4013 · (608) 647-2138 · Fax (608) 647-8955
Fax(608) 647-8955
Organization SubpartNo
Authorized OfficialShaponda JimersonAdministrator · (608) 647-2138
Enumeration DateJuly 21, 2005
Last NPPES UpdateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
NPI 1144229055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WI · 2365
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.
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License 2365 (WI)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 2365 (WI)
25951 CIRCLE VIEW DR, Richland Center, WI 53581

Other Names 1

Doing Business AsPine Valley Community Village

Other Identifiers 1

Medicaid20155800WI

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 52D0684455

Pine Valley Community Village · Richland Center, WI
Active · expires Aug 31, 2026
CLIA Number52D0684455
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrittany Paulus
Laboratory Phone(608) 647-2138
Laboratory LocationPine Valley Community Village25951 Circle View Lane, Richland Center, WI 53581
CLIA data matches this NPI record on: 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 Pine Valley Community Village (CMS certification number 525365), from CMS Care Compare.

Pine Valley Community Village

Nursing home · Richland Center, WI
5/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number525365
Certified Beds80 beds59 residents per day on average
Medicare & Medicaid Participant SinceAugust 1, 1984
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.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
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.
17.33
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 3.44 · LPN 0.44 · RN 1.29
5.17 hrs per resident per day
Weekend Nurse Staffing
4.48 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
34.9%
Registered Nurse Turnover
27.8%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
0
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 3

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

Occupational Therapy Assistant
25951 CIRCLE VIEW DR
RICHLAND CENTER, WI 53581
Physical Therapy Assistant
25951 CIRCLE VIEW DR
RICHLAND CENTER, WI 53581
Registered Nurse (Urology)
25951 CIRCLE VIEW DR
RICHLAND CENTER, WI 53581

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 County Of Richland's NPI number?

The NPI number for County Of Richland is 1144229055. It was assigned to this organization in the NPPES registry on July 21, 2005. The provider is doing business as Pine Valley Community Village.

Where is County Of Richland located?

County Of Richland is located at 25951 Circle View Dr, Richland Center, WI 53581. The listed phone number is (608) 647-2138.

What is County Of Richland's specialty?

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

Does County Of Richland hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0684455) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is County Of Richland a Medicare-certified nursing home?

Yes. Pine Valley Community Village is a Medicare-certified nursing home with 80 certified beds.

What quality rating does County Of Richland have?

CMS rates Pine Valley Community Village 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 County Of Richland accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz and Security Health Plan list County Of Richland 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 County Of Richland was last updated on February 7, 2024. 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.