PRESBYTERIAN HOMES AND SERVICES REHABILITATION
NPI 1336845551
Clinic/Center - Rehabilitation in Waukesha, WI

Active since January 31, 2023CLIA Certified · 2 labs
222 PARK PL, WAUKESHA, WI 53186(651) 631-6570 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Presbyterian Homes And Services Rehabilitation NPPES

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

PRESBYTERIAN HOMES AND SERVICES REHABILITATION (NPI 1336845551) is a healthcare organization registered as a rehabilitation in Waukesha, Wisconsin and active in the NPI registry since January 2023. The organization holds 2 active CLIA laboratory certificates and lists Ashley Rue, Director Of Rehab, as its authorized official.

NPPES Registry Identity

NPI1336845551
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePRESBYTERIAN HOMES OF WISCONSIN, INC.
Location Address222 PARK PLWaukesha, WI 53186-4858
Mailing Address2845 Hamline Ave NRoseville, MN 55113-7127 · (651) 631-6415
Organization SubpartNo
Authorized OfficialAshley RueDirector Of Rehab · (651) 631-6415
Enumeration DateJanuary 31, 2023
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
NPI 1336845551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
222 PARK PL, Waukesha, WI 53186

Other Names 2

Doing Business AsPresbyterian Homes And Services Rehabilitation
Doing Business AsAvalon Square

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 52D1006718

Presbyterian Homes And Services · Waukesha, WI
Active · expires Nov 25, 2026
CLIA Number52D1006718
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorKristin Jensen
Laboratory Phone(262) 547-6741
Laboratory LocationPresbyterian Homes And Services222 Park Place, Waukesha, WI 53186
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2322822

Presbyterian Homes Hospice, Dba Optage Hospice · Waukesha, WI
Active · expires Apr 27, 2027
CLIA Number52D2322822
Laboratory TypeHospice
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorJill Nance
Laboratory Phone(262) 293-5415
Laboratory LocationPresbyterian Homes Hospice, Dba Optage Hospice222 Park Pl, Waukesha, WI 53186
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 6

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

Pharmacy (Long Term Care Pharmacy)
222 PARK PL
WAUKESHA, WI 53186
Physical Therapist (Geriatrics)
222 PARK PL
WAUKESHA, WI 53186
Physical Therapist
222 PARK PL
WAUKESHA, WI 53186
Hospice Care, Community Based
222 PARK PL
WAUKESHA, WI 53186
Occupational Therapist
222 PARK PL
WAUKESHA, WI 53186
Speech-Language Pathologist
222 PARK PL
WAUKESHA, WI 53186

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 Presbyterian Homes Of Wisconsin, Inc.'s NPI number?

The NPI number for Presbyterian Homes Of Wisconsin, Inc. is 1336845551. It was assigned to this organization in the NPPES registry on January 31, 2023. The provider is doing business as Presbyterian Homes And Services Rehabilitation and Avalon Square.

Where is Presbyterian Homes Of Wisconsin, Inc. located?

Presbyterian Homes Of Wisconsin, Inc. is located at 222 Park Pl, Waukesha, WI 53186. The listed phone number is (651) 631-6570.

What is Presbyterian Homes Of Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Does Presbyterian Homes Of Wisconsin, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Presbyterian Homes Of Wisconsin, Inc. was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.