OrganizationActive
Fennimore Snf Operations, LLC
NPI 1104776533 · Skilled Nursing Facility · Fennimore, WI
Provider details
- NPI number
- 1104776533
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Max Stesel, Manager(773) 825-3336
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1850 11th St
Fennimore, WI 53809-1612
Phone: (773) 825-3336
Street-level locationGet directions
Mailing address
8170 Mccormick Blvd Ste 112
Skokie, IL 60076-2914
Registry dates
- Enumerated
- 2026-02-03
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.