South Bay Manor in Milwaukee - Nursing Facility/intermediate Care Facility
South Bay Manor - NPI 1881840932
South Bay Manor is a Nursing Facility/intermediate Care Facility in Milwaukee, Wisconsin. South Bay Manor practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for South Bay Manor is 1881840932. The last update date is 2015-06-03.
South Bay Manor's current location address is 6737 W Washington St, Milwaukee, Wisconsin. You can contact this provider via phone number 4017895880 and fax number 4017832880. The mailing address for South Bay Manor is 6737 W Washington St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bay Manor |
|---|---|
| Address | 6737 W Washington St, Milwaukee, Wisconsin |
| Phone Number | 4017895880 |
| Fax Number | 4017832880 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Ohlendorf Mark |
| Telephone Number | 4149185403 |
NPI Number Detail
| NPI Number | 1881840932 |
|---|---|
| Provider Enumeration Date | 2008-08-08 |
| Last Updated Date | 2015-06-03 |
Provider Mailing Address Detail
| Address | 6737 W Washington St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 53214 |
| Phone Number | 4017895880 |
| Fax Number | 4017832880 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | LTC00735 |
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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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What is the unique identification code assigned to South Bay Manor by the Centers for Medicare & Medicaid Services?
The South Bay Manor has been issued the NPI (National Provider Identifier) 1881840932. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the South Bay Manor located?
The South Bay Manor is located at 6737 W Washington St, Milwaukee, WI 53214.
What is the South Bay Manor's specialty and taxonomy code?
The South Bay Manor's specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881840932 to South Bay Manor?
The Centers for Medicare & Medicaid Services assigned the 1881840932 to South Bay Manor on 2008-08-08.
When was the South Bay Manor's information last updated?
The South Bay Manor's information was last updated on 2015-06-03.
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