WILD ROSE MANOR
NPI 1649264623
Skilled Nursing Facility in Wild Rose, WI

Active since September 07, 2005
425 SUMMIT ST, WILD ROSE, WI 54984(920) 622-4342(920) 622-3655 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2020, Nov 1, 2019 (2 updates tracked since 2019).

About Wild Rose Manor NPPES

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

WILD ROSE MANOR (NPI 1649264623) is a healthcare organization registered as a skilled nursing facility in Wild Rose, Wisconsin and active in the NPI registry since September 2005. The organization lists Stephanie L. Sherman, Medicare Program Monitor, as its authorized official.

NPPES Registry Identity

NPI1649264623
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWISCONSIN ILLINOIS SENIOR HOUSING INC.
Location Address425 SUMMIT STWild Rose, WI 54984-6804
Mailing Address425 Summit StWild Rose, WI 54984-6804 · (920) 622-4342 · Fax (920) 622-3655
Fax(920) 622-3655
Organization SubpartNo
Authorized OfficialStephanie L. ShermanMedicare Program Monitor · (303) 980-0611
Enumeration DateSeptember 7, 2005
Last NPPES UpdateMay 13, 20202 updates tracked since enumeration
NPPES CertifiedMay 13, 2020
NPI 1649264623 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 · 2606
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.

425 SUMMIT ST, Wild Rose, WI 54984

Other Names 1

Other NameWild Rose Manor

Other Identifiers 1

Medicaid20184100WI

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Physical Therapy Assistant
425 SUMMIT ST
WILD ROSE, WI 54984
Speech-Language Pathologist
425 SUMMIT ST
WILD ROSE, WI 54984
Physical Therapy Assistant
425 SUMMIT ST
WILD ROSE, WI 54984
Occupational Therapist
425 SUMMIT ST
WILD ROSE, WI 54984
Occupational Therapist
425 SUMMIT ST
WILD ROSE, WI 54984
Physical Therapy Assistant
425 SUMMIT ST
WILD ROSE, WI 54984
Physical Therapy Assistant
425 SUMMIT ST
WILD ROSE, WI 54984
Occupational Therapy Assistant
425 SUMMIT ST
WILD ROSE, WI 54984

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 Wisconsin Illinois Senior Housing Inc.'s NPI number?

The NPI number for Wisconsin Illinois Senior Housing Inc. is 1649264623. It was assigned to this organization in the NPPES registry on September 7, 2005. The provider is also known as Wild Rose Manor.

Where is Wisconsin Illinois Senior Housing Inc. located?

Wisconsin Illinois Senior Housing Inc. is located at 425 Summit St, Wild Rose, WI 54984. The listed phone number is (920) 622-4342.

What is Wisconsin Illinois Senior Housing Inc.'s specialty?

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

What insurance does Wisconsin Illinois Senior Housing Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Wisconsin Illinois Senior Housing 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 Wisconsin Illinois Senior Housing Inc. was last updated on May 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.