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WOODSIDE LUTHERAN HOME
NPI 1780756890
Skilled Nursing Facility in Green Bay, WI

Active since November 14, 2006CLIA 52D0669074 · Waiver
4/5
Overall Rating
1040 PILGRIM WAY, GREEN BAY, WI 54304(920) 499-1481(920) 499-1501 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 13, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Woodside Lutheran Home NPPES

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

WOODSIDE LUTHERAN HOME (NPI 1780756890) is a healthcare organization registered as a skilled nursing facility in Green Bay, Wisconsin and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Polly Gretzinger, Executive Director, Campus Operatio, as its authorized official.

NPPES Registry Identity

NPI1780756890
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBAY AREA LUTHERAN HOMES INC
Location Address1040 PILGRIM WAYGreen Bay, WI 54304
Mailing Address1040 Pilgrim WayGreen Bay, WI 54304 · (920) 499-1481 · Fax (920) 499-1501
Phone(920) 499-1481
Fax(920) 499-1501
Organization SubpartNo
Authorized OfficialPolly GretzingerExecutive Director, Campus Operatio · (920) 405-3213
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1780756890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in WI · 2177
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X
1040 PILGRIM WAY, Green Bay, WI 54304
Open in Google Maps ↗

Other Names 1

Doing Business AsWoodside Lutheran Home

Other Identifiers 1

Medicaid20150200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.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 52D0669074

Woodside Lutheran Home · Green Bay, WI
Active · expires Aug 31, 2026
CLIA Number52D0669074
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLisa Gervais
Laboratory Phone(920) 499-1481
Laboratory LocationWoodside Lutheran Home1040 Pilgrim Way, Green Bay, WI 54304
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 Woodside Lutheran Home (CMS certification number 525557), from CMS Care Compare.

Woodside Lutheran Home

Nursing home · Green Bay, WI
4/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number525557
Certified Beds130 beds104 residents per day on average
Medicare & Medicaid Participant SinceJanuary 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.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
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.
31.5
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 3.02 · LPN 0.48 · RN 1.38
4.89 hrs per resident per day
Weekend Nurse Staffing
4.11 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
38.3%
Registered Nurse Turnover
20%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
4
Infection-Control Citations
1
Fines
1 totaling $29,807.70
Medicare Payment Denials
0
Total Penalties
1
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.

MRS. RAMONA DAWN SCHMIDT OTR
Occupational Therapist
1040 PILGRIM WAY, WOODSIDE LUTHERAN HOME
GREEN BAY, WI 54304
Brown County (920) 405-3522
MRS. VANESSA PLOEDERL COTA
Occupational Therapy Assistant
1040 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 405-3522
MRS. INGRID ANN FREITAG M.S. CCC-SLP
Speech-Language Pathologist
1040 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 405-3522
KAYLA MARTHA HENKEL COTA
Occupational Therapy Assistant
1040 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 405-3522
JENNIFER SITZMAN PTA
Physical Therapy Assistant
1040 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 405-3522
MRS. KELLY J MALMQUIST PTA
Physical Therapy Assistant
1040 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 405-3522
SARAH CRYSTAL BUSER COTA
Occupational Therapy Assistant
1040 PILGRIM WAY
GREEN BAY, WI 54304
Brown County (920) 405-3522
MARY T. ANNEN OTR
Occupational Therapist
1040 PILGRIM WAY, WOODSIDE LUTHERAN HOME
ASHWAUBENON, WI 54304
Brown County (920) 405-3522

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 Bay Area Lutheran Homes Inc's NPI number?

The NPI number for Bay Area Lutheran Homes Inc is 1780756890. It was assigned to this organization in the NPPES registry on November 14, 2006. The provider is doing business as Woodside Lutheran Home.

Where is Bay Area Lutheran Homes Inc located?

Bay Area Lutheran Homes Inc is located at 1040 Pilgrim Way, Green Bay, WI 54304. The listed phone number is (920) 499-1481.

What is Bay Area Lutheran Homes Inc's specialty?

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

Does Bay Area Lutheran Homes Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0669074) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bay Area Lutheran Homes Inc a Medicare-certified nursing home?

Yes. Woodside Lutheran Home is a Medicare-certified nursing home with 130 certified beds.

What quality rating does Bay Area Lutheran Homes Inc have?

CMS rates Woodside Lutheran Home 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Bay Area Lutheran Homes Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Security Health Plan and UnitedHealthcare list Bay Area Lutheran Homes 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 Bay Area Lutheran Homes Inc was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.