Harbor Haven Health & Rehabilitation

LBN: Fond Du Lac County
Harbor Haven Health & Rehabilitation is an health care organization with primary practice located at 459 E 1St St , Fond Du Lac WI 54935-4505. 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. Fond Du Lac County can be contacted via phone (920) 929-3543, or through Radmer, Mark via phone (920) 929-3309.

Contact Information

Primary practice address
459 E 1St St Fond Du Lac WI 54935-4505
Phone: (920) 929-3543
Fax: (920) 929-7509
Website:
Map and Directions
Authorized official contact:
Name: Radmer, Mark
Phone: (920) 929-3309

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2437 Wisconsin

Profile Details

NPI number 1659358323
LBN Legal business name Fond Du Lac County
DBA Doing business as Harbor Haven Health & Rehabilitation
Authorized official Radmer, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 16th, 2019 - about 5 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 1659358323 NPPES
Wisconsin MEDICAID 20130800

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