Beverly Enterprises - Wisconsin, Inc in Green Bay - Skilled Nursing Facility
Beverly Enterprises - Wisconsin, Inc - NPI 1225085640
Beverly Enterprises - Wisconsin, Inc is a Skilled Nursing Facility in Green Bay, Wisconsin. Beverly Enterprises - Wisconsin, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Beverly Enterprises - Wisconsin, Inc is 1225085640. The last update date is 2014-07-17.
Beverly Enterprises - Wisconsin, Inc's current location address is 1640 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204995177. The mailing address for Beverly Enterprises - Wisconsin, Inc is 1640 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beverly Enterprises - Wisconsin, Inc |
|---|---|
| Address | 1640 Shawano Ave, Green Bay, Wisconsin |
| Phone Number | 9204995177 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Rasmussen-Jones Holly |
| Telephone Number | 4792014835 |
NPI Number Detail
| NPI Number | 1225085640 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2014-07-17 |
Provider Mailing Address Detail
| Address | 1640 Shawano Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543033214 |
| Phone Number | 9204995177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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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 |
|---|---|---|---|
| 525342 | WI | SECURITY HP | |
| 20-1225-00 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Beverly Enterprises - Wisconsin, Inc by the Centers for Medicare & Medicaid Services?
The Beverly Enterprises - Wisconsin, Inc has been issued the NPI (National Provider Identifier) 1225085640, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Beverly Enterprises - Wisconsin, Inc is physically located?
The Beverly Enterprises - Wisconsin, Inc is situated at the following address: 1640 Shawano Ave, Green Bay, WI 543033214.
What is Beverly Enterprises - Wisconsin, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Beverly Enterprises - Wisconsin, Inc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did Beverly Enterprises - Wisconsin, Inc receive its 1225085640 assignment from the Centers for Medicare & Medicaid Services?
The Beverly Enterprises - Wisconsin, Inc was assigned its 1225085640 on 2006-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Beverly Enterprises - Wisconsin, Inc's information last updated?
The Beverly Enterprises - Wisconsin, Inc's information was last updated on 2014-07-17.