PRESCOTT NURSING AND REHABILITATION COMMUNITY
NPI 1922090521
Skilled Nursing Facility in Prescott, WI

Active since August 19, 2005
1505 ORRIN RD, PRESCOTT, WI 54021(715) 262-5661(715) 262-4899 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Prescott Nursing And Rehabilitation Community NPPES

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

PRESCOTT NURSING AND REHABILITATION COMMUNITY (NPI 1922090521) is a healthcare organization registered as a skilled nursing facility in Prescott, Wisconsin and active in the NPI registry since August 2005. The organization lists Keith Yoder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922090521
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCCG PRESCOTT, INC
Location Address1505 ORRIN RDPrescott, WI 54021-1074
Mailing Address5000 Hakes Dr, Suite 600Norton Shores, MI 49441-5574 · (231) 799-6870 · Fax (231) 799-0250
Fax(715) 262-4899
Organization SubpartNo
Authorized OfficialKeith YoderCfo · (614) 416-0600
Enumeration DateAugust 19, 2005
Last NPPES UpdateJanuary 23, 2008
NPI 1922090521 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 · 3249
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.
1505 ORRIN RD, Prescott, WI 54021

Other Names 1

Doing Business AsPrescott Nursing And Rehabilitation Community

Other Identifiers 2

Medicare OSCAR/certification525398WI
Medicaid20195300WI

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 52D0394321

Prescott Nursing & Rehabilitation Community · Prescott, WI
Expired · Aug 31, 2026
CLIA Number52D0394321
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorConnor Hinrichs
Laboratory Phone(715) 262-5661
Laboratory LocationPrescott Nursing & Rehabilitation Community1505 Orrin Rd, Prescott, WI 54021
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Physical Therapist
1505 ORRIN RD
PRESCOTT, WI 54021
Occupational Therapy Assistant
1505 ORRIN RD
PRESCOTT, WI 54021
Occupational Therapist
1505 ORRIN RD
PRESCOTT, WI 54021
Occupational Therapy Assistant
1505 ORRIN RD
PRESCOTT, WI 54021
Physical Therapist
1505 ORRIN RD
PRESCOTT, WI 54021
Physical Therapist
1505 ORRIN RD
PRESCOTT, WI 54021
Occupational Therapy Assistant
1505 ORRIN RD
PRESCOTT, WI 54021
Occupational Therapy Assistant
1505 ORRIN RD
PRESCOTT, WI 54021

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 Ccg Prescott, Inc's NPI number?

The NPI number for Ccg Prescott, Inc is 1922090521. It was assigned to this organization in the NPPES registry on August 19, 2005. The provider is doing business as Prescott Nursing And Rehabilitation Community.

Where is Ccg Prescott, Inc located?

Ccg Prescott, Inc is located at 1505 Orrin Rd, Prescott, WI 54021. The listed phone number is (715) 262-5661.

What is Ccg Prescott, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Ccg Prescott, Inc was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.