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

Shady Lane Home, Inc

Organization Skilled Nursing Facility · NPI 1518926211

Shady Lane Home, Inc is a Skilled Nursing Facility in Manitowoc, Wisconsin. Medicare rates this nursing home 5 out of 5. Licensed in Wisconsin.

CMS rating
5 of 5
Licensed in
WI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

5 out of 5 — official nursing home rating from CMS Care Compare (CCN 525575)
Health inspection4.0 / 5
Staffing5.0 / 5
Quality measures3.0 / 5
OwnershipNon profit - Corporation

Practice location Address checks out

1235 S 24th St
Manitowoc, WI 54220-5516
Phone: (920) 682-8254
Fax: (920) 682-8315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 2250 (WI)

Record details

NPI number1518926211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Wetenkamp — Accounts Receivable · (920) 682-8254
NPI enumeratedMarch 21, 2006
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020
Mailing address1235 S 24th St, Manitowoc, WI 54220-5516

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