FIELDCREST MANOR
NPI 1629504600
Nursing Facility/Intermediate Care Facility in Manitowoc, WI

Active since May 11, 2017CLIA 52D2234017 · Waiver
1510 S 30TH ST, MANITOWOC, WI 54220(920) 682-8980 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fieldcrest Manor NPPES

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

FIELDCREST MANOR (NPI 1629504600) is a healthcare organization registered as a nursing facility/intermediate care facility in Manitowoc, Wisconsin and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Dean C Maschoff, President, as its authorized official.

NPPES Registry Identity

NPI1629504600
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameNORTH OAK HEALTH CARE, INC.
Location Address1510 S 30TH STManitowoc, WI 54220-5902
Mailing Address1025 Shermer RdNorthbrook, IL 60062-3730 · (847) 612-0750
Organization SubpartNo
Authorized OfficialDean C MaschoffPresident · (847) 612-0750
Enumeration DateMay 11, 2017
NPI 1629504600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License Licensed in WI · 0016554
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1510 S 30TH ST, Manitowoc, WI 54220

Other Names 1

Doing Business AsFieldcrest Manor

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 52D2234017

North Oak Health Care, Inc Dba Fieldcrest Manor · Manitowoc, WI
Active · expires Aug 26, 2027
CLIA Number52D2234017
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorDolores Mantik
Laboratory Phone(920) 682-8980
Laboratory LocationNorth Oak Health Care, Inc Dba Fieldcrest Manor1510 S 30th St, Manitowoc, WI 54220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 North Oak Health Care, Inc.'s NPI number?

The NPI number for North Oak Health Care, Inc. is 1629504600. It was assigned to this organization in the NPPES registry on May 11, 2017. The provider is doing business as Fieldcrest Manor.

Where is North Oak Health Care, Inc. located?

North Oak Health Care, Inc. is located at 1510 S 30th St, Manitowoc, WI 54220. The listed phone number is (920) 682-8980.

What is North Oak Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does North Oak Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2234017) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Oak Health Care, Inc. was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.