OrganizationActive
Crystal Fountains Rehabilitation Center LLC
NPI 1659736478 · Skilled Nursing Facility · Green Bay, WI
Provider details
- NPI number
- 1659736478
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Karen Trzebiatowski, Director of Operations(715) 340-1479
- License
- 1134 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
403 South Clay St
Green Bay, WI 54301-3807
Phone: (920) 432-5231
Fax: (920) 432-9881
Street-level locationGet directions
Mailing address
3450 Bridlewood Dr
Plover, WI 54467-3892
Other names (DBA / former)
- Doing business as
- Santa Maria Nursing Home
Registry dates
- Enumerated
- 2015-12-21
- Last updated
- 2015-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.