Shell Lake Snf Llc in Shell Lake - Nursing Facility/intermediate Care Facility
Shell Lake Snf Llc - NPI 1295939049
Shell Lake Snf Llc is a Nursing Facility/intermediate Care Facility in Shell Lake, Wisconsin. Shell Lake Snf Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Shell Lake Snf Llc is 1295939049. The last update date is 2021-10-13.
Shell Lake Snf Llc's current location address is 802 E Cty Hwy B, Shell Lake, Wisconsin. You can contact this provider via phone number 7154684292 and fax number 7154684232. The mailing address for Shell Lake Snf Llc is 802 E Cty Hwy B, Shell Lake, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shell Lake Snf Llc |
|---|---|
| Address | 802 E Cty Hwy B, Shell Lake, Wisconsin |
| Phone Number | 7154684292 |
| Fax Number | 7154684232 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hansen William Jonathon |
| Telephone Number | 3208287310 |
NPI Number Detail
| NPI Number | 1295939049 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
| Address | 802 E Cty Hwy B |
|---|---|
| City | Shell Lake |
| State | Wisconsin (WI) |
| Post Code | 54871 |
| Phone Number | 7154684292 |
| Fax Number | 7154684232 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 2748 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2748 | WI | BUSINESS LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Shell Lake Snf Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shell Lake Snf Llc has been assigned the NPI (National Provider Identifier) 1295939049. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Shell Lake Snf Llc's physical address?
The Shell Lake Snf Llc is physically located at 802 E Cty Hwy B, in the city of Shell Lake, WI, with the postal code 54871.
What is the area of specialization for Shell Lake Snf Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shell Lake Snf Llc is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of expertise is 313M00000X.
On what date did the Shell Lake Snf Llc receive its 1295939049 assignment from the Centers for Medicare & Medicaid Services?
The Shell Lake Snf Llc was assigned its 1295939049 by the Centers for Medicare & Medicaid Services on 2007-06-14.
As of what date was the information pertaining to Shell Lake Snf Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shell Lake Snf Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-13.
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