BREWSTER VILLAGE
NPI 1639167430
Skilled Nursing Facility in Appleton, WI

Active since October 06, 2005CLIA 52D0669581 · Waiver
5/5
Overall Rating
3300 W BREWSTER ST, APPLETON, WI 54914(920) 832-5400(920) 832-4922 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brewster Village NPPES

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

BREWSTER VILLAGE (NPI 1639167430) is a healthcare organization registered as a skilled nursing facility in Appleton, Wisconsin and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David A Rothmann, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639167430
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTY OF OUTAGAMIE
Location Address3300 W BREWSTER STAppleton, WI 54914
Mailing Address3300 W Brewster StAppleton, WI 54914 · (920) 832-5400 · Fax (920) 832-4922
Fax(920) 832-4922
Organization SubpartNo
Authorized OfficialDavid A RothmannAdministrator · (920) 832-5400
Enumeration DateOctober 6, 2005
Last NPPES UpdateMay 11, 2010
NPI 1639167430 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 · 2371
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.
3300 W BREWSTER ST, Appleton, WI 54914

Other Names 1

Doing Business AsBrewster Village

Other Identifiers 2

Medicaid20125400WI
Medicare ID-Type Unspecified525574WI

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 52D0669581

Brewster Village · Appleton, WI
Active · expires Aug 31, 2026
CLIA Number52D0669581
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTim Neuman
Laboratory Phone(920) 832-5400
Laboratory LocationBrewster Village3300 W Brewster St, Appleton, WI 54914
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Brewster Village (CMS certification number 525574), from CMS Care Compare.

Brewster Village

Nursing home · Appleton, WI
5/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number525574
Certified Beds204 beds118 residents per day on average
Medicare & Medicaid Participant SinceAugust 1, 1995
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.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
8.67
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 2.92 · LPN 0.14 · RN 1.4
4.46 hrs per resident per day
Weekend Nurse Staffing
4.1 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
35.7%
Registered Nurse Turnover
17.1%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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.

Speech-Language Pathologist
3300 W BREWSTER ST
APPLETON, WI 54914
Physical Therapy Assistant
3300 W BREWSTER ST
APPLETON, WI 54914
Physical Therapy Assistant
3300 W BREWSTER ST
APPLETON, WI 54914
Speech-Language Pathologist
3300 W BREWSTER ST
APPLETON, WI 54914
Physical Therapy Assistant
3300 W BREWSTER ST
APPLETON, WI 54914
Physical Therapy Assistant
3300 W BREWSTER ST
APPLETON, WI 54914
Physical Therapist
3300 W BREWSTER ST
APPLETON, WI 54914
Occupational Therapy Assistant
3300 W BREWSTER ST
APPLETON, WI 54914

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 County Of Outagamie's NPI number?

The NPI number for County Of Outagamie is 1639167430. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as Brewster Village.

Where is County Of Outagamie located?

County Of Outagamie is located at 3300 W Brewster St, Appleton, WI 54914. The listed phone number is (920) 832-5400.

What is County Of Outagamie's specialty?

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

Does County Of Outagamie hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0669581) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is County Of Outagamie a Medicare-certified nursing home?

Yes. Brewster Village is a Medicare-certified nursing home with 204 certified beds.

What quality rating does County Of Outagamie have?

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

What insurance does County Of Outagamie accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners and Network Health list County Of Outagamie 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 County Of Outagamie was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.