Country Grove Home Llc

LBN: Country Grove Home Llc
Country Grove Home Llc is an health care organization with primary practice located at N11151 17Th Ave , Necedah WI 54646-7619. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Country Grove Home Llc can be contacted via phone (608) 565-2735, or through Peak, Scott A via phone (608) 547-2755.

Contact Information

Primary practice address
N11151 17Th Ave Necedah WI 54646-7619
Phone: (608) 565-2735
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peak, Scott A
Phone: (608) 547-2755

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 0011011 Wisconsin

Profile Details

NPI number 1306162706
LBN Legal business name Country Grove Home Llc
DBA Doing business as
Authorized official Peak, Scott A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2010
Last updated Apr 12th, 2010 - about 14 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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