OMRO NURSING AND REHAB, LLC
NPI 1467920017
Skilled Nursing Facility in Omro, WI

Active since November 12, 2018CLIA 52D0397915 · Waiver

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2020, Nov 12, 2018 (2 updates tracked since 2018).

About Omro Nursing And Rehab, Llc NPPES

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

OMRO NURSING AND REHAB, LLC (NPI 1467920017) is a healthcare organization registered as a skilled nursing facility in Omro, Wisconsin and active in the NPI registry since November 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

NPI1467920017
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOMRO NURSING AND REHAB, LLC
Location Address500 GRANT AVEOmro, WI 54963-1342
Mailing Address8170 Mccormick Blvd Ste 112Skokie, IL 60076-2914 · (773) 825-3336 · Fax (773) 570-4554
Organization SubpartNo
Authorized OfficialPamela RiceDirector Of Revenue · (847) 712-8901
Enumeration DateNovember 12, 2018
Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
NPI 1467920017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

500 GRANT AVE, Omro, WI 54963

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 52D0397915

Omro Nursing And Rehab, LLC D/B/A Omro Care Center · Omro, WI
Active · expires Aug 31, 2026
CLIA Number52D0397915
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDeanna Kroll
Laboratory Phone(920) 685-2755
Laboratory LocationOmro Nursing And Rehab, LLC D/B/A Omro Care Center500 Grant Avenue, Omro, WI 54963
CLIA data matches this NPI record on: Address Name Phone
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.

Speech-Language Pathologist
500 GRANT AVE
OMRO, WI 54963
Occupational Therapy Assistant
500 GRANT AVE
OMRO, WI 54963
Physical Therapy Assistant
500 GRANT AVE
OMRO, WI 54963
Speech-Language Pathologist
500 GRANT AVE
OMRO, WI 54963
Skilled Nursing Facility
500 GRANT AVE
OMRO, WI 54963
Speech-Language Pathologist
500 GRANT AVE
OMRO, WI 54963
Physical Therapy Assistant
500 GRANT AVE
OMRO, WI 54963
Physical Therapy Assistant
500 GRANT AVE
OMRO, WI 54963

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467920017, enumerated as an "organization" on November 12, 2018.

The provider is located at 500 GRANT AVE OMRO, WI 54963 and the phone number is (920) 685-2755.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Network Health. Please consult your insurance carrier or call the provider to verify.