Ggnsc Beaver Dam Llc in Beaver Dam - Skilled Nursing Facility
Ggnsc Beaver Dam Llc - NPI 1134179849
Ggnsc Beaver Dam Llc is a Skilled Nursing Facility in Beaver Dam, Wisconsin. Ggnsc Beaver Dam Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ggnsc Beaver Dam Llc is 1134179849. The last update date is 2014-07-17.
Ggnsc Beaver Dam Llc's current location address is 410 Roedl Ct, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208877191 and fax number 9208878699. The mailing address for Ggnsc Beaver Dam Llc is 410 Roedl Ct, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ggnsc Beaver Dam Llc |
|---|---|
| Address | 410 Roedl Ct, Beaver Dam, Wisconsin |
| Phone Number | 9208877191 |
| Fax Number | 9208878699 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Rasmussen-Jones A. Holly |
| Telephone Number | 4792014835 |
NPI Number Detail
| NPI Number | 1134179849 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2014-07-17 |
Provider Mailing Address Detail
| Address | 410 Roedl Ct |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539162934 |
| Phone Number | 9208877191 |
| Fax Number | 9208878699 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2695 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20197100 | WI | -- | |
| 525338 | WI | SECURITY HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Ggnsc Beaver Dam Llc by the Centers for Medicare & Medicaid Services?
The Ggnsc Beaver Dam Llc has been assigned the NPI (National Provider Identifier) 1134179849. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ggnsc Beaver Dam Llc is located?
The Ggnsc Beaver Dam Llc is situated at the following address: 410 Roedl Ct, Beaver Dam, WI, 539162934.
What is Ggnsc Beaver Dam Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ggnsc Beaver Dam Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134179849 to Ggnsc Beaver Dam Llc?
The Centers for Medicare & Medicaid Services assigned the 1134179849 to Ggnsc Beaver Dam Llc on 2006-05-11.
As of what date were the Ggnsc Beaver Dam Llc's details last updated?
The information pertaining to the Ggnsc Beaver Dam Llc, including its address, specialty, and other details, was most recently updated on 2014-07-17.