PINE HAVEN CHRISTIAN HOME INC
NPI 1881688059
Skilled Nursing Facility in Sheboygan Falls, WI

Active since September 02, 2005CLIA Certified · 2 labs
220 HAVEN DRIVE, SHEBOYGAN FALLS, WI 53085(920) 467-2401(920) 467-7273 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine Haven Christian Home Inc NPPES

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

PINE HAVEN CHRISTIAN HOME INC (NPI 1881688059) is a healthcare organization registered as a skilled nursing facility in Sheboygan Falls, Wisconsin and active in the NPI registry since September 2005. The organization holds 2 active CLIA laboratory certificates and lists Martin Halverson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881688059
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePINE HAVEN CHRISTIAN HOME INC
Location Address220 HAVEN DRIVESheboygan Falls, WI 53085
Mailing Address531 Giddings Ave, Pine Haven Christian Home IncSheboygan Falls, WI 53085-1707 · (920) 467-2401 · Fax (920) 467-7273
Fax(920) 467-7273
Organization SubpartNo
Authorized OfficialMartin HalversonCfo · (920) 550-5257
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJune 22, 2015
NPI 1881688059 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 · 356
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.
220 HAVEN DRIVE, Sheboygan Falls, WI 53085

Other Identifiers 2

Medicare ID-Type Unspecified525676WI
Medicaid20012000WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 52D0388795

Pine Haven Christian Home · Sheboygan Falls, WI
Active · expires Aug 31, 2026
CLIA Number52D0388795
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Natalie Nonnemacher
Laboratory Phone(920) 550-5689
Laboratory LocationPine Haven Christian Home220 Haven Drive, Sheboygan Falls, WI 53085
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2056724

Pine Haven Christian Communities · Sheboygan Falls, WI
Active · expires Apr 2, 2027
CLIA Number52D2056724
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorNatalie M. Nonnemacher
Laboratory Phone(920) 550-5689
Laboratory LocationPine Haven Christian Communities531 Giddings Avenue, Sheboygan Falls, WI 53085
CLIA data matches this NPI record on: Address
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 Pine Haven Christian Home Inc's NPI number?

The NPI number for Pine Haven Christian Home Inc is 1881688059. It was assigned to this organization in the NPPES registry on September 2, 2005.

Where is Pine Haven Christian Home Inc located?

Pine Haven Christian Home Inc is located at 220 Haven Drive, Sheboygan Falls, WI 53085. The listed phone number is (920) 467-2401.

What is Pine Haven Christian Home Inc's specialty?

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

Does Pine Haven Christian Home Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pine Haven Christian Home Inc accept?

Health plans from HealthPartners list Pine Haven Christian Home 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 Pine Haven Christian Home Inc was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.