STOUGHTON HOSPITAL HOME HEALTH
NPI 1184761231
Home Health in Stoughton, WI

Active since January 30, 2007CLIA Certified · 2 labs
900 RIDGE ST, STOUGHTON, WI 53589(608) 873-6611(608) 873-2255 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Dec 13, 2019, Nov 16, 2015 (3 updates tracked since 2015).

About Stoughton Hospital Home Health NPPES

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

STOUGHTON HOSPITAL HOME HEALTH (NPI 1184761231) is a healthcare organization registered as a home health in Stoughton, Wisconsin and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Daniel C Degroot, President, as its authorized official.

NPPES Registry Identity

NPI1184761231
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSTOUGHTON HOSPITAL ASSOCIATION
Location Address900 RIDGE STStoughton, WI 53589-1864
Mailing Address900 Ridge StStoughton, WI 53589-1864 · (608) 873-6611 · Fax (608) 873-2255
Fax(608) 873-2255
Organization SubpartNo
Authorized OfficialDaniel C DegrootPresident · (608) 873-2250
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 13, 2019
NPI 1184761231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

900 RIDGE ST, Stoughton, WI 53589

Other Names 1

Doing Business AsStoughton Hospital Home Health

Other Identifiers 1

Medicaid41533800WI

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 52D0393178

Stoughton Hospital · Stoughton, WI
Active · expires Feb 8, 2027
CLIA Number52D0393178
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Joel E. Mendelin
Laboratory Phone(608) 873-2273
Laboratory LocationStoughton Hospital900 Ridge St, Stoughton, WI 53589
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 52D0704934

Stoughton Hospital · Stoughton, WI
Active · expires Aug 31, 2026
CLIA Number52D0704934
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKyle Sippel
Laboratory Phone(608) 873-2371
Laboratory LocationStoughton HospitalPatient Services Administration 900 Ridge St, Stoughton, WI 53589
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Nurse Anesthetist, Certified Registered
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Occupational Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184761231, enumerated as an "organization" on January 30, 2007.

The provider is located at 900 RIDGE ST STOUGHTON, WI 53589 and the phone number is (608) 873-6611.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.