HOMME HOME OF WITTENBERG
NPI 1508901158
Skilled Nursing Facility in Wittenberg, WI

Active since February 21, 2007CLIA 52D0395761 · Waiver
604 S WEBB ST, WITTENBERG, WI 54499(715) 253-2125(715) 253-3538 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Homme Home Of Wittenberg NPPES

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

HOMME HOME OF WITTENBERG (NPI 1508901158) is a healthcare organization registered as a skilled nursing facility in Wittenberg, Wisconsin and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Rodney Wendorf, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508901158
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOMME HOME FOR THE AGING INC.
Location Address604 S WEBB STWittenberg, WI 54499-9040
Mailing Address604 S Webb StWittenberg, WI 54499-9040 · (715) 253-2125 · Fax (715) 253-3538
Fax(715) 253-3538
Organization SubpartNo
Authorized OfficialRodney WendorfCfo · (715) 253-2125
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1508901158 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 · 306
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.
604 S WEBB ST, Wittenberg, WI 54499

Other Names 1

Doing Business AsHomme Home Of Wittenberg

Other Identifiers 1

Medicaid20-153700WI

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 52D0395761

Homme Home For The Aging Inc · Wittenberg, WI
Active · expires Aug 31, 2026
CLIA Number52D0395761
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMr. Justin T. Cieslewicz
Laboratory Phone(715) 253-2125
Laboratory LocationHomme Home For The Aging Inc604 S Webb St, Wittenberg, WI 54499
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 7

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

Occupational Therapy Assistant
604 S WEBB ST
WITTENBERG, WI 54499
Physical Therapy Assistant
604 S WEBB ST
WITTENBERG, WI 54499
Physical Therapy Assistant
604 S WEBB ST
WITTENBERG, WI 54499
Speech-Language Pathologist
604 S WEBB ST
WITTENBERG, WI 54499
Speech-Language Pathologist
604 S WEBB ST
WITTENBERG, WI 54499
Physical Therapy Assistant
604 S WEBB ST
WITTENBERG, WI 54499
Occupational Therapy Assistant
604 S WEBB ST
WITTENBERG, WI 54499

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 Homme Home For The Aging Inc.'s NPI number?

The NPI number for Homme Home For The Aging Inc. is 1508901158. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Homme Home Of Wittenberg.

Where is Homme Home For The Aging Inc. located?

Homme Home For The Aging Inc. is located at 604 S Webb St, Wittenberg, WI 54499. The listed phone number is (715) 253-2125.

What is Homme Home For The Aging Inc.'s specialty?

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

Does Homme Home For The Aging Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0395761) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Homme Home For The Aging Inc. accept?

Health plans from CareSource (Common Ground Healthcare) and HealthPartners list Homme Home For The Aging Inc. 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 Homme Home For The Aging Inc. was last updated on August 22, 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.