CCC OF PEWAUKEE LLC
NPI 1578049995
Skilled Nursing Facility in Waukesha, WI

Q: What is Ccc Of Pewaukee LLC's NPI number?

The NPI number for Ccc Of Pewaukee LLC is 1578049995. It was assigned to this organization in the NPPES registry on July 18, 2018. The provider is doing business as Avina of Pewaukee and Crossroads Care Center of Pewaukee.

Q: What is Ccc Of Pewaukee LLC's specialty?

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

Q: What quality rating does Ccc Of Pewaukee LLC have?

CMS rates Ccc Of Pewaukee 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since July 18, 2018

1/5

Overall Rating

N26W23977 WATERTOWN RD, WAUKESHA, WI 53188(847) 983-4860 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Dec 9, 2018, Jul 18, 2018 (3 updates tracked since 2018).

On this page

About Ccc Of Pewaukee Llc NPPES

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

CCC OF PEWAUKEE LLC (NPI 1578049995), doing business as Avina Of Pewaukee, is a healthcare organization registered as a skilled nursing facility in Waukesha, Wisconsin and active in the NPI registry since July 2018. The organization lists David Merzel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1578049995

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameCCC OF PEWAUKEE LLC

Location AddressN26W23977 WATERTOWN RDWaukesha, WI 53188-1006

Mailing Address5454 Fargo AveSkokie, IL 60077-3210 · (847) 983-4860

Phone(847) 983-4860

Organization SubpartNo

Authorized OfficialDavid MerzelCfo · (847) 983-4860

Enumeration DateJuly 18, 2018

Last NPPES UpdateJune 4, 20263 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1578049995 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.

N26W23977 WATERTOWN RD, Waukesha, WI 53188

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Other Names 2

Doing Business AsAvina Of Pewaukee

Doing Business AsCrossroads Care Center Of Pewaukee

Other Identifiers 2

Medicaid000000000WI

Medicaid1578049995WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health and more.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Ccc Of Pewaukee (CMS certification number 525646), from CMS Care Compare.

Ccc Of Pewaukee

Nursing home · Waukesha, WI

1/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number525646

Certified Beds120 beds88 residents per day on average

Medicare & Medicaid Participant SinceJuly 28, 1998

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

2/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

144

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.05 · LPN 0.94 · RN 0.46

3.44 hrs per resident per day

Weekend Nurse Staffing

2.79 hrs per resident per day

Physical Therapist Staffing

0.05 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

50%

Registered Nurse Turnover

30%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.

Facility-Reported Incidents

Substantiated Complaints

Fines

2 totaling $123,383.00

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 18

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

LAURA A ESKOFF PT

Physical Therapist