Fond Du Lac Nursing and Rehab, LLC
NPI 1316422025 · Skilled Nursing Facility · Fond Du Lac, WI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fond Du Lac Nursing and Rehab, LLC is a Skilled Nursing Facility organization in Fond Du Lac, WI (NPI 1316422025).
Provider details
- NPI number
- 1316422025
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Rice, Director of Revenue(773) 825-3336
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES 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
Mailing address
Other names (DBA / former)
- Doing business as
- Edenbrook of Fond Du Lac
- Doing business as
- Edenbrook of Fond Du Lac
Registry dates
- Enumerated
- 2018-09-27
- Last updated
- 2020-09-16
- Certified
- 2020-09-16
Frequently asked questions
- What is Fond Du Lac Nursing and Rehab, LLC's NPI number?
- Fond Du Lac Nursing and Rehab, LLC's National Provider Identifier (NPI) is 1316422025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fond Du Lac Nursing and Rehab, LLC?
- Fond Du Lac Nursing and Rehab, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fond Du Lac Nursing and Rehab, LLC located?
- Fond Du Lac Nursing and Rehab, LLC's practice location on file with NPPES is 265 S National Ave, Fond Du Lac, WI 54935-5334.
- What is Fond Du Lac Nursing and Rehab, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fond Du Lac Nursing and Rehab, LLC is (920) 922-7342.
- Does Fond Du Lac Nursing and Rehab, LLC accept Medicare?
- Fond Du Lac Nursing and Rehab, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fond Du Lac Nursing and Rehab, LLC?
- The authorized official listed on Fond Du Lac Nursing and Rehab, LLC's NPPES record is Pamela Rice, Director of Revenue. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fond Du Lac Nursing and Rehab, LLC's NPI active?
- Yes — Fond Du Lac Nursing and Rehab, LLC's NPI (1316422025) is active in the NPPES registry as of the last update on 2020-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.