MANITOWOC HEALTH & REHABILITATION CENTER
NPI 1235474792
Nursing Facility/Intermediate Care Facility in Manitowoc, WI

Q: What is Manitowoc Health & Rehabilitation Center's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since December 10, 2012CLIA 52D0394734 · Waiver

2021 S ALVERNO RD, MANITOWOC, WI 54220(920) 683-4100 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Manitowoc Health & Rehabilitation Center NPPES

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

MANITOWOC HEALTH & REHABILITATION CENTER (NPI 1235474792) is a healthcare organization registered as a nursing facility/intermediate care facility in Manitowoc, Wisconsin and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Ben Prince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235474792

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameMANITOWOC HEALTH & REHABILITATION CENTER

Location Address2021 S ALVERNO RDManitowoc, WI 54220-9208

Mailing Address2021 S Alverno RdManitowoc, WI 54220-9208 · (920) 683-4100

Phone(920) 683-4100

Organization SubpartNo

Authorized OfficialBen PrinceAdministrator · (920) 683-4100

Enumeration DateDecember 10, 2012

✔ NPI 1235474792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in WI · 20200900

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

2021 S ALVERNO RD, Manitowoc, WI 54220

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Other Identifiers 1

Medicaid261752627WI

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 52D0394734

Manitowoc Health Care Center LLC · Manitowoc, WI

Active · expires Jan 7, 2027

CLIA Number52D0394734

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJanuary 8, 2025

Certificate Expiration DateJanuary 7, 2027

Laboratory DirectorDr. Pradeep Giriyappa

Laboratory Phone(920) 683-4112

Laboratory LocationManitowoc Health Care Center LLC2021 S Alverno Rd, Manitowoc, WI 54220

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

MRS. HEATHER NICOLE REINEMANN OTR

Occupational Therapist

2021 S ALVERNO RD, MANITOWOC HEALTH & REHAB CENTER
MANITOWOC, WI 54220

Manitowoc County (920) 683-4592

KATIE LORRIGAN COTA

Occupational Therapy Assistant