Shady Lane Home, Inc.
NPI 1518926211 · Skilled Nursing Facility · Manitowoc, WI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Lane Home, Inc. is a Skilled Nursing Facility organization in Manitowoc, WI (NPI 1518926211).
Provider details
- NPI number
- 1518926211
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Wetenkamp, Accounts Receivable(920) 682-8254
- License
- 2250 (WI)
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
20 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
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2020-12-31
- Certified
- 2020-12-31
Frequently asked questions
- What is Shady Lane Home, Inc.'s NPI number?
- Shady Lane Home, Inc.'s National Provider Identifier (NPI) is 1518926211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Lane Home, Inc.?
- Shady Lane Home, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Shady Lane Home, Inc. located?
- Shady Lane Home, Inc.'s practice location on file with NPPES is 1235 S 24th St, Manitowoc, WI 54220-5516.
- What is Shady Lane Home, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Shady Lane Home, Inc. is (920) 682-8254.
- Does Shady Lane Home, Inc. accept Medicare?
- Shady Lane Home, Inc. 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 Shady Lane Home, Inc.?
- The authorized official listed on Shady Lane Home, Inc.'s NPPES record is Lisa Wetenkamp, Accounts Receivable. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Lane Home, Inc.'s NPI active?
- Yes — Shady Lane Home, Inc.'s NPI (1518926211) is active in the NPPES registry as of the last update on 2020-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.