GREENTREE HEALTH CARE CTR
NPI 1285901546
Skilled Nursing Facility in Clintonville, WI

Active since November 30, 2011CLIA 52D0670698 · Waiver
70 W GREEN TREE RD, CLINTONVILLE, WI 54929(715) 823-2194 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greentree Health Care Ctr NPPES

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

GREENTREE HEALTH CARE CTR (NPI 1285901546) is a healthcare organization registered as a skilled nursing facility in Clintonville, Wisconsin and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Amy Brylski, Cota, as its authorized official.

NPPES Registry Identity

NPI1285901546
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePINE MANOR HEALTH CARE CTR
Location Address70 W GREEN TREE RDClintonville, WI 54929-1009
Mailing Address70 Greentree Rd.Clintonville, WI 54929 · (715) 823-2194
Organization SubpartNo
Authorized OfficialAmy BrylskiCota · (920) 475-1378
Enumeration DateNovember 30, 2011
NPI 1285901546 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 · 211-27
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.
70 W GREEN TREE RD, Clintonville, WI 54929

Other Names 1

Doing Business AsGreentree Health Care Ctr

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 52D0670698

Greentree Health & Rehabilitation Ctr · Clintonville, WI
Active · expires Aug 31, 2026
CLIA Number52D0670698
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLauren Doell
Laboratory Phone(715) 823-2194
Laboratory LocationGreentree Health & Rehabilitation Ctr70 Greentree Road, Clintonville, WI 54929
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Occupational Therapy Assistant
70 W GREEN TREE RD
CLINTONVILLE, WI 54929
Occupational Therapist
70 W GREEN TREE RD
CLINTONVILLE, WI 54929
Physical Therapy Assistant
70 W GREEN TREE RD
CLINTONVILLE, WI 54929
Physical Therapy Assistant
70 W GREEN TREE RD
CLINTONVILLE, WI 54929
Skilled Nursing Facility
70 W GREEN TREE RD
CLINTONVILLE, WI 54929
Physical Therapist
70 W GREEN TREE RD
CLINTONVILLE, WI 54929

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 Pine Manor Health Care Ctr's NPI number?

The NPI number for Pine Manor Health Care Ctr is 1285901546. It was assigned to this organization in the NPPES registry on November 30, 2011. The provider is doing business as Greentree Health Care Ctr.

Where is Pine Manor Health Care Ctr located?

Pine Manor Health Care Ctr is located at 70 W Green Tree Rd, Clintonville, WI 54929. The listed phone number is (715) 823-2194.

What is Pine Manor Health Care Ctr's specialty?

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

Does Pine Manor Health Care Ctr hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0670698) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pine Manor Health Care Ctr was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.