Woodside Lutheran Home

LBN: Bay Area Lutheran Homes Inc
Woodside Lutheran Home is an health care organization with primary practice located at 1040 Pilgrim Way , Green Bay WI 54304. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Bay Area Lutheran Homes Inc can be contacted via phone (920) 499-1481, or through Gretzinger, Polly via phone (920) 405-3213.

Contact Information

Primary practice address
1040 Pilgrim Way Green Bay WI 54304
Phone: (920) 499-1481
Fax: (920) 499-1501
Website:
Map and Directions
Authorized official contact:
Name: Gretzinger, Polly
Phone: (920) 405-3213

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2177 Wisconsin

Profile Details

NPI number 1780756890
LBN Legal business name Bay Area Lutheran Homes Inc
DBA Doing business as Woodside Lutheran Home
Authorized official Gretzinger, Polly
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Oct 13th, 2023 - about last year

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 1780756890 NPPES
Wisconsin MEDICAID 20150200

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