Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ccc of Pewaukee LLC

Organization Skilled Nursing Facility · NPI 1578049995

Ccc of Pewaukee LLC is a Skilled Nursing Facility in Waukesha, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

N26W23977 Watertown Rd
Waukesha, WI 53188-1006
Phone: (847) 983-4860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1578049995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Merzel — Cfo · (847) 983-4860
Other names Avina Of Pewaukee; Crossroads Care Center Of Pewaukee
NPI enumeratedJuly 18, 2018
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address5454 Fargo Ave, Skokie, IL 60077-3210

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