Augusta Area Home, Inc

LBN: Augusta Area Home, Inc
Augusta Area Home, Inc is an health care organization with primary practice located at 215 E Brown St , Augusta WI 54722-9346. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Augusta Area Home, Inc can be contacted via phone (715) 286-2266, or through Bradley, Jahn B via phone (715) 286-2266.

Contact Information

Primary practice address
215 E Brown St Augusta WI 54722-9346
Phone: (715) 286-2266
Fax: (715) 286-2653
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Jahn B
Phone: (715) 286-2266

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2083 Wisconsin

Profile Details

NPI number 1093701088
LBN Legal business name Augusta Area Home, Inc
DBA Doing business as
Authorized official Bradley, Jahn B
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Jun 13th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093701088 NPPES
Wisconsin MEDICAID 20010300

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