TOMAH HEALTH CARE CENTER
NPI 1194723205
Skilled Nursing Facility in Tomah, WI

Active since July 12, 2005
1505 BUTTS AVE, TOMAH, WI 54660(608) 372-3241(608) 372-3250 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tomah Health Care Center NPPES

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

TOMAH HEALTH CARE CENTER (NPI 1194723205) is a healthcare organization registered as a skilled nursing facility in Tomah, Wisconsin and active in the NPI registry since July 2005. The organization lists Keith Yoder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194723205
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCCG TOMAH INC.
Location Address1505 BUTTS AVETomah, WI 54660-2405
Mailing Address5000 Hakes Dr, Suite 600Norton Shores, MI 49441-5574 · (231) 799-6870 · Fax (231) 799-0250
Fax(608) 372-3250
Organization SubpartNo
Authorized OfficialKeith YoderCfo · (614) 416-0600
Enumeration DateJuly 12, 2005
Last NPPES UpdateJanuary 23, 2008
NPI 1194723205 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 · 2825
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.
1505 BUTTS AVE, Tomah, WI 54660

Other Names 1

Doing Business AsTomah Health Care Center

Other Identifiers 3

Medicare OSCAR/certification525442WI
Other621810991030WI · Bcbs Provider Code
Medicaid20192600WI

Other Providers at the Same Location NPPES 8

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

Occupational Therapy Assistant
1505 BUTTS AVE
TOMAH, WI 54660
Skilled Nursing Facility
1505 BUTTS AVE
TOMAH, WI 54660
Physical Therapist
1505 BUTTS AVE
TOMAH, WI 54660
Clinic/Center (Physical Therapy)
1505 BUTTS AVE
TOMAH, WI 54660
Occupational Therapist
1505 BUTTS AVE
TOMAH, WI 54660
Physical Therapist
1505 BUTTS AVE
TOMAH, WI 54660
Occupational Therapy Assistant
1505 BUTTS AVE
TOMAH, WI 54660
Occupational Therapy Assistant
1505 BUTTS AVE
TOMAH, WI 54660

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 Ccg Tomah Inc.'s NPI number?

The NPI number for Ccg Tomah Inc. is 1194723205. It was assigned to this organization in the NPPES registry on July 12, 2005. The provider is doing business as Tomah Health Care Center.

Where is Ccg Tomah Inc. located?

Ccg Tomah Inc. is located at 1505 Butts Ave, Tomah, WI 54660. The listed phone number is (608) 372-3241.

What is Ccg Tomah Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Ccg Tomah Inc. was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.