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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780756890 | NPPES |
| Wisconsin | MEDICAID | 20150200 |
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