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

State of Wisconsin

Organization Skilled Nursing Facility · NPI 1225152861

State of Wisconsin is a Skilled Nursing Facility in Union Grove, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

21425G Spring St
Union Grove, WI 53182-9707
Phone: (262) 838-6700
Fax: (262) 878-6758
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 5024 (WI)

Record details

NPI number1225152861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Servatius — Homes Division Administrator · (715) 258-4251
Other names Wi Veterans Home Union Grove
NPI enumeratedMarch 19, 2007
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address21425g Spring St, Union Grove, WI 53182-9707

Other providers in Union Grove