Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

County of Wood

Organization Skilled Nursing Facility · NPI 1013915339

County of Wood is a Skilled Nursing Facility in Port Edwards, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005

Practice location Address checks out

1351 Wisconsin River Dr
Port Edwards, WI 54469-1041
Phone: (715) 885-8300
Fax: (715) 885-8351
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 2369 (WI)

Record details

NPI number1013915339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Theiler — Administrator · (715) 885-8324
Other names Edgewater Haven Nursing Home; Edgewater Haven Nursing Home
NPI enumeratedJuly 11, 2005
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022
Mailing address1351 Wisconsin River Dr, Port Edwards, WI 54469-1099