EDENBROOK OF FOND DU LAC
NPI 1316422025
Skilled Nursing Facility in Fond Du Lac, WI
About Edenbrook Of Fond Du Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDENBROOK OF FOND DU LAC (NPI 1316422025) is a healthcare organization registered as a skilled nursing facility in Fond Du Lac, Wisconsin and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Pamela Rice, Director Of Revenue, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 52D0671107
Eden Senior Care Dba Edenbrook Of Fonddulac · Fond Du Lac, WINursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Edenbrook Of Fond Du Lac (CMS certification number 525274), from CMS Care Compare.
Edenbrook Of Fond Du Lac
Nursing home · Fond Du Lac, WICMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
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.
FOND DU LAC, WI 54935
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 Fond Du Lac Nursing And Rehab, LLC's NPI number?
The NPI number for Fond Du Lac Nursing And Rehab, LLC is 1316422025. It was assigned to this organization in the NPPES registry on September 27, 2018. The provider is doing business as Edenbrook Of Fond Du Lac.
Where is Fond Du Lac Nursing And Rehab, LLC located?
Fond Du Lac Nursing And Rehab, LLC is located at 265 S National Ave, Fond Du Lac, WI 54935. The listed phone number is (920) 922-7342.
What is Fond Du Lac Nursing And Rehab, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Fond Du Lac Nursing And Rehab, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0671107) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Fond Du Lac Nursing And Rehab, LLC a Medicare-certified nursing home?
Yes. Edenbrook Of Fond Du Lac is a Medicare-certified nursing home with 90 certified beds.
What quality rating does Fond Du Lac Nursing And Rehab, LLC have?
CMS rates Edenbrook Of Fond Du Lac 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
What insurance does Fond Du Lac Nursing And Rehab, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz and Security Health Plan list Fond Du Lac Nursing And Rehab, LLC 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 Fond Du Lac Nursing And Rehab, LLC was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.