San Luis Medical & Rehab in Green Bay - Skilled Nursing Facility
San Luis Medical & Rehab - NPI 1669647673
San Luis Medical & Rehab is a Skilled Nursing Facility in Green Bay, Wisconsin. San Luis Medical & Rehab practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for San Luis Medical & Rehab is 1669647673. The last update date is 2008-04-30.
San Luis Medical & Rehab's current location address is 2915 Shade Tree Ln, Green Bay, Wisconsin. You can contact this provider via phone number 9206213822. The mailing address for San Luis Medical & Rehab is 2915 Shade Tree Ln, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Luis Medical & Rehab |
|---|---|
| Address | 2915 Shade Tree Ln, Green Bay, Wisconsin |
| Phone Number | 9206213822 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COTA |
|---|---|
| Authorized Official Name | Sheedy Marie Andrea |
| Telephone Number | 9204945231 |
NPI Number Detail
| NPI Number | 1669647673 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 2915 Shade Tree Ln |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543137081 |
| Phone Number | 9206213822 |
| 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 |
|---|---|---|---|
| 40867900 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to San Luis Medical & Rehab by the Centers for Medicare & Medicaid Services?
The San Luis Medical & Rehab has been issued the NPI (National Provider Identifier) 1669647673. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where San Luis Medical & Rehab's facilities are situated?
The facilities of San Luis Medical & Rehab are physically located at the following address: 2915 Shade Tree Ln, Green Bay, WI, 543137081.
What is San Luis Medical & Rehab's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for San Luis Medical & Rehab is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did San Luis Medical & Rehab receive its 1669647673 assignment from the Centers for Medicare & Medicaid Services?
The San Luis Medical & Rehab was assigned its 1669647673 on 2008-04-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to San Luis Medical & Rehab most recently updated or revised?
The details related to San Luis Medical & Rehab, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-30.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY