CROSSROADS CARE CENTER OF EAST FOND DU LAC
NPI 1972089399
Skilled Nursing Facility in Fond Du Lac, WI

Active since July 18, 2018
265 S NATIONAL AVE, FOND DU LAC, WI 54935(847) 983-4860 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossroads Care Center Of East Fond Du Lac NPPES

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

CROSSROADS CARE CENTER OF EAST FOND DU LAC (NPI 1972089399) is a healthcare organization registered as a skilled nursing facility in Fond Du Lac, Wisconsin and active in the NPI registry since July 2018. The organization lists David Merzel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972089399
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCCC OF EAST FOND DU LAC
Location Address265 S NATIONAL AVEFond Du Lac, WI 54935-5334
Mailing Address8150 Central Park AveSkokie, IL 60076-2974 · (847) 983-4860
Organization SubpartNo
Authorized OfficialDavid MerzelCfo · (847) 983-4860
Enumeration DateJuly 18, 2018
NPI 1972089399 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.
265 S NATIONAL AVE, Fond Du Lac, WI 54935

Other Names 1

Doing Business AsCrossroads Care Center Of East Fond Du Lac

Other Identifiers 1

Medicaid00000WI

Other Providers at the Same Location NPPES 12

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

Occupational Therapy Assistant
265 S NATIONAL AVE
FOND DU LAC, WI 54935
Occupational Therapy Assistant
265 S NATIONAL AVE
FOND DU LAC, WI 54935
Skilled Nursing Facility
265 S NATIONAL AVE
FOND DU LAC, WI 54935
Speech-Language Pathologist
265 S NATIONAL AVE
FOND DU LAC, WI 54935
Occupational Therapy Assistant
265 S NATIONAL AVE
FOND DU LAC, WI 54935
Speech-Language Pathologist
265 S NATIONAL AVE
FOND DU LAC, WI 54935
Occupational Therapy Assistant
265 S NATIONAL AVE
FOND DU LAC, WI 54935
Physical Therapy Assistant
265 S NATIONAL AVE
FOND DU LAC, WI 54935

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 Ccc Of East Fond Du Lac's NPI number?

The NPI number for Ccc Of East Fond Du Lac is 1972089399. It was assigned to this organization in the NPPES registry on July 18, 2018. The provider is doing business as Crossroads Care Center Of East Fond Du Lac.

Where is Ccc Of East Fond Du Lac located?

Ccc Of East Fond Du Lac is located at 265 S National Ave, Fond Du Lac, WI 54935. The listed phone number is (847) 983-4860.

What is Ccc Of East Fond Du Lac'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 Ccc Of East Fond Du Lac was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.