Great Trail Care, Llc in Milwaukee - Skilled Nursing Facility
Great Trail Care, Llc - NPI 1437212628
Great Trail Care, Llc is a Skilled Nursing Facility in Milwaukee, Wisconsin. Great Trail Care, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Great Trail Care, Llc is 1437212628. The last update date is 2008-02-25.
Great Trail Care, Llc's current location address is 111 W Michigan St, Milwaukee, Wisconsin. You can contact this provider via phone number 4149088119 and fax number 4149087105. The mailing address for Great Trail Care, Llc is 111 W Michigan St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Trail Care, Llc |
|---|---|
| Address | 111 W Michigan St, Milwaukee, Wisconsin |
| Phone Number | 4149088119 |
| Fax Number | 4149087105 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Maassen Jo Donna |
| Telephone Number | 4149088119 |
NPI Number Detail
| NPI Number | 1437212628 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 111 W Michigan St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532032903 |
| Phone Number | 4149088119 |
| Fax Number | 4149087105 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
|
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 |
|---|---|---|---|
| 2007303 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Great Trail Care, Llc by the Centers for Medicare & Medicaid Services?
The Great Trail Care, Llc has been assigned the NPI (National Provider Identifier) 1437212628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Great Trail Care, Llc is physically located?
The Great Trail Care, Llc is physically situated at the following address: 111 W Michigan St, Milwaukee, WI, 532032903.
What is the area of specialization for Great Trail Care, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Great Trail Care, Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Great Trail Care, Llc receive the assignment of its 1437212628 from the Centers for Medicare & Medicaid Services?
The Great Trail Care, Llc was issued its 1437212628 by the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the information related to Great Trail Care, Llc most recently updated or refreshed?
The details pertaining to the Great Trail Care, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-25.
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