SHADY LANE HOME, INC.
NPI 1518926211
Skilled Nursing Facility in Manitowoc, WI
About Shady Lane Home, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHADY LANE HOME, INC. (NPI 1518926211) is a healthcare organization registered as a skilled nursing facility in Manitowoc, Wisconsin and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Lisa M Wetenkamp, Accounts Receivable, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 52D0662593
Shady Lane Inc · Manitowoc, WIOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANITOWOC, WI 54220
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 Shady Lane Home, Inc.'s NPI number?
The NPI number for Shady Lane Home, Inc. is 1518926211. It was assigned to this organization in the NPPES registry on March 21, 2006.
Where is Shady Lane Home, Inc. located?
Shady Lane Home, Inc. is located at 1235 S 24th St, Manitowoc, WI 54220. The listed phone number is (920) 682-8254.
What is Shady Lane Home, Inc.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Shady Lane Home, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0662593) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Shady Lane Home, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Shady Lane Home, 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 Shady Lane Home, Inc. was last updated on December 31, 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.