OrganizationActive
Willowbrook Nursing & Rehab Center
NPI 1376773499 · Skilled Nursing Facility · Lake Mills, WI
Provider details
- NPI number
- 1376773499
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Extendicare
- Organization subpart
- Yes
- Authorized official
- Ann Evenson, Frc(920) 648-3144
- License
- 11296024 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
901 Mulberry St
Lake Mills, WI 53551-1335
Phone: (920) 648-3144
Fax: (920) 648-3441
Street-level locationGet directions
Mailing address
901 Mulberry St
Lake Mills, WI 53551-1335
Registry dates
- Enumerated
- 2009-07-23
- Last updated
- 2009-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.