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GRANDE PRAIRIE CARE AND REHAB CENTER LLC
NPI 1912643834
Skilled Nursing Facility in Pleasant Prairie, WI

Active since May 12, 2022CLIA 52D0977089 · Waiver
1/5
Overall Rating
10330 PRAIRIE RIDGE BLVD, PLEASANT PRAIRIE, WI 53158(262) 612-2800 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Jan 29, 2026, May 12, 2022 (3 updates tracked since 2022).

About Grande Prairie Care And Rehab Center Llc NPPES

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

GRANDE PRAIRIE CARE AND REHAB CENTER LLC (NPI 1912643834), doing business as Complete Care At Grande Prairie, is a healthcare organization registered as a skilled nursing facility in Pleasant Prairie, Wisconsin and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Shalom Stein, Owner, as its authorized official.

NPPES Registry Identity

NPI1912643834
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRANDE PRAIRIE CARE AND REHAB CENTER LLC
Location Address10330 PRAIRIE RIDGE BLVDPleasant Prairie, WI 53158-1947
Mailing Address10330 Prairie Ridge BlvdPleasant Prairie, WI 53158-1947
Phone(262) 612-2800
Organization SubpartNo
Authorized OfficialShalom SteinOwner · (732) 313-0880
Enumeration DateMay 12, 2022
Last NPPES UpdateMay 1, 20263 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1912643834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
10330 PRAIRIE RIDGE BLVD, Pleasant Prairie, WI 53158
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Other Names 1

Doing Business AsComplete Care At Grande Prairie

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 52D0977089

Grande Prairie Care And Rehab Center · Pleasant Prairie, WI
Active · expires Aug 20, 2026
CLIA Number52D0977089
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorDr. Sarfraz Sidhu
Laboratory Phone(262) 612-2800
Laboratory LocationGrande Prairie Care And Rehab Center10330 Prairie Ridge Rd, Pleasant Prairie, WI 53158
CLIA data matches this NPI record on: 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 Grande Prairie Care And Rehab Ctr LLC (CMS certification number 525659), from CMS Care Compare.

Grande Prairie Care And Rehab Ctr LLC

Nursing home · Pleasant Prairie, WI
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number525659
Certified Beds118 beds83 residents per day on average
Medicare & Medicaid Participant SinceAugust 31, 2000
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
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.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
142.5
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 1.9 · LPN 0.9 · RN 0.69
3.49 hrs per resident per day
Weekend Nurse Staffing
3 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
57.6%
Registered Nurse Turnover
37.5%
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
1
Substantiated Complaints
19
Fines
3 totaling $312,629.00
Medicare Payment Denials
0
Total Penalties
3
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 15

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

SSC PLEASANT PRAIRIE OPERATING COMPANY LLC
Skilled Nursing Facility
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 612-2800
MS. MIKKI HEGEMANN
Physical Therapy Assistant
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 612-2800
DR. FELICE KAWKA DPT
Physical Therapist
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 612-2856
MS. AMY EIDEN OTR
Occupational Therapist
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 612-2855
MRS. SARA CATHERINE DE ANGELIS OTR
Occupational Therapist
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 612-2855
MS. CATHY MCCLAY PT
Physical Therapist
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 612-2856
KELLY MORGAN PETRILLO
Speech-Language Pathologist
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 612-2800
LORI PETTIT PTA
Physical Therapy Assistant
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 612-2831

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 Grande Prairie Care And Rehab Center LLC's NPI number?

The NPI number for Grande Prairie Care And Rehab Center LLC is 1912643834. It was assigned to this organization in the NPPES registry on May 12, 2022. The provider is doing business as Complete Care at Grande Prairie.

Where is Grande Prairie Care And Rehab Center LLC located?

Grande Prairie Care And Rehab Center LLC is located at 10330 Prairie Ridge Blvd, Pleasant Prairie, WI 53158. The listed phone number is (262) 612-2800.

What is Grande Prairie Care And Rehab Center LLC's specialty?

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

Does Grande Prairie Care And Rehab Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0977089) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Grande Prairie Care And Rehab Center LLC a Medicare-certified nursing home?

Yes. Grande Prairie Care And Rehab Ctr LLC is a Medicare-certified nursing home with 118 certified beds.

What quality rating does Grande Prairie Care And Rehab Center LLC have?

CMS rates Grande Prairie Care And Rehab Ctr LLC 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Grande Prairie Care And Rehab Center LLC accept?

Health plans from UnitedHealthcare list Grande Prairie Care And Rehab Center LLC 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 Grande Prairie Care And Rehab Center LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.