MEDICARE: GOLDEN YEARS NURSING HOME, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1891420220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN YEARS NURSING HOME, INC.

Provider Business Mailing Address
First Line	:	270 RIDGE RD
Second Line	:
City	:	WALWORTH
State	:	WI
Zip	:	53184-9526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 RIDGE RD
Second Line	:
City	:	WALWORTH
State	:	WI
Zip	:	53184-9526
Country	:	US
Telephone Number	:	262-275-6103
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JONATHAN STANKEVITZ
Credential	:
Telephone Number	:	262-275-6103

Provider Enumeration Date	:	07/20/2022
Last Update Date	:	09/24/2025

Similar Medicare Providers

1396010468 — CATIE FERN PONTEL PTA
Practice Location Address:

270 RIDGE RD
WALWORTH, WI
53184-9526

Practice Phone: 262-275-2317
Practice Fax:

1306833504 — THOMAS A BECI DDS
Practice Location Address:

129 KENOSHA ST
WALWORTH, WI
53184-9642

Practice Phone: 262-275-2333
Practice Fax:

1609835206 — MS. CAROL ANNE WEIKEL R.N.
Practice Location Address:

427 S 5TH AVE
WALWORTH, WI
53184-9535

Practice Phone: 262-275-6252
Practice Fax:

1144273012 — VILLAGE OF WALWORTH
Practice Location Address:

247 N MAIN ST
WALWORTH, WI
53184-9781

Practice Phone: 262-275-3838
Practice Fax:

1962436188 — AURORA PHARMACY INC
Practice Location Address:

525 KENOSHA ST , SUITE C
WALWORTH, WI
53184-9512

Practice Phone: 262-275-0936
Practice Fax: 262-275-0953

1447268586 — DR. BERNICE LORRAINE ELLIOTT DC
Practice Location Address:

541 KENOSHA ST
WALWORTH, WI
53184-9538

Practice Phone: 262-275-1700
Practice Fax:

Directions to “GOLDEN YEARS NURSING HOME, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.