OrganizationActive
Ccg Prescott, Inc
NPI 1922090521 · Skilled Nursing Facility · Prescott, WI
Ccg Prescott, Inc is a Skilled Nursing Facility organization in Prescott, WI (NPI 1922090521).
Provider details
- NPI number
- 1922090521
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Keith Yoder, Cfo(614) 416-0600
- License
- 3249 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
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
1505 Orrin Rd
Prescott, WI 54021-1074
Phone: (715) 262-5661
Fax: (715) 262-4899
Street-level locationGet directions
Mailing address
5000 Hakes Dr
Norton Shores, MI 49441-5574
Other names (DBA / former)
- Doing business as
- Prescott Nursing and Rehabilitation Community
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2008-01-23
Frequently asked questions
- What is Ccg Prescott, Inc's NPI number?
- Ccg Prescott, Inc's National Provider Identifier (NPI) is 1922090521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccg Prescott, Inc?
- Ccg Prescott, Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ccg Prescott, Inc located?
- Ccg Prescott, Inc's practice location on file with NPPES is 1505 Orrin Rd, Prescott, WI 54021-1074.
- What is Ccg Prescott, Inc's phone number?
- The practice phone number listed in the NPPES registry for Ccg Prescott, Inc is (715) 262-5661.
- Who is the authorized official for Ccg Prescott, Inc?
- The authorized official listed on Ccg Prescott, Inc's NPPES record is Keith Yoder, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccg Prescott, Inc's NPI active?
- Yes — Ccg Prescott, Inc's NPI (1922090521) is active in the NPPES registry as of the last update on 2008-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.