Evansville Manor, Inc. in Evansville - Skilled Nursing Facility

Evansville Manor, Inc. - NPI 1609863794

Evansville Manor, Inc. is a Skilled Nursing Facility in Evansville, Wisconsin. Evansville Manor, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evansville Manor, Inc. is 1609863794. The last update date is 2020-08-22.

Evansville Manor, Inc.'s current location address is 470 Garfield Ave, Evansville, Wisconsin. You can contact this provider via phone number 6088825700 and fax number 6088820833. The mailing address for Evansville Manor, Inc. is 470 Garfield Ave, Evansville, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evansville Manor, Inc.
Address 470 Garfield Ave, Evansville, Wisconsin
Phone Number 6088825700
Fax Number 6088820833
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Martin Bonnie
Telephone Number 6088825700

NPI Number Detail

NPI Number 1609863794
Provider Enumeration Date 2005-10-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 470 Garfield Ave
City Evansville
State Wisconsin (WI)
Post Code 535361014
Phone Number 6088825700
Fax Number 6088820833

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 2259
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20147800 WI --

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FAQs about Evansville Manor, Inc.

What is the unique identifier code issued to Evansville Manor, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The Evansville Manor, Inc. has been assigned the NPI (National Provider Identifier) 1609863794. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Evansville Manor, Inc.'s facilities are situated?

The facilities of Evansville Manor, Inc. are physically located at the following address: 470 Garfield Ave, Evansville, WI, 535361014.

What is Evansville Manor, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Evansville Manor, Inc. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.

When did Evansville Manor, Inc. receive its 1609863794 assignment?

The Evansville Manor, Inc. was assigned its 1609863794 on 2005-10-04, which is the date when this unique identifier was issued to the organization.

When was the information regarding Evansville Manor, Inc. most recently updated?

The details pertaining to the Evansville Manor, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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