REHAB/KINDREDCARE
NPI 1356784888
Skilled Nursing Facility in Random Lake, WI

Active since April 15, 2013
307 LAKE DR, RANDOM LAKE, WI 53075(920) 447-3041 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rehab/kindredcare NPPES

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

REHAB/KINDREDCARE (NPI 1356784888) is a healthcare organization registered as a skilled nursing facility in Random Lake, Wisconsin and active in the NPI registry since April 2013. The organization lists Sheryl Ann Knorr, Physical Therapy Assistant, as its authorized official.

NPPES Registry Identity

NPI1356784888
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHEBOYGAN SENIOR COM
Location Address307 LAKE DRRandom Lake, WI 53075-1764
Mailing Address307 Lake DrRandom Lake, WI 53075-1764 · (920) 447-3041
Organization SubpartNo
Authorized OfficialSheryl Ann KnorrPhysical Therapy Assistant · (920) 459-0637
Enumeration DateApril 15, 2013
NPI 1356784888 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 · 1862-19
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.
307 LAKE DR, Random Lake, WI 53075

Other Names 1

Other NameRehab/kindredcare

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 Sheboygan Senior Com's NPI number?

The NPI number for Sheboygan Senior Com is 1356784888. It was assigned to this organization in the NPPES registry on April 15, 2013. The provider is also known as Rehab/Kindredcare.

Where is Sheboygan Senior Com located?

Sheboygan Senior Com is located at 307 Lake Dr, Random Lake, WI 53075. The listed phone number is (920) 447-3041.

What is Sheboygan Senior Com'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 Sheboygan Senior Com was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.