Grancare Nursing And Rehabilitation Center

LBN: Grancare Inc
Grancare Nursing And Rehabilitation Center is an health care organization with primary practice located at 517 E Division St , Fond Du Lac WI 54935-3735. 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. Grancare Inc can be contacted via phone (920) 921-6800, or through Mackenzie, William L via phone (920) 921-6800.

Contact Information

Primary practice address
517 E Division St Fond Du Lac WI 54935-3735
Phone: (920) 921-6800
Fax: (920) 921-6875
Website:
Map and Directions
Authorized official contact:
Name: Mackenzie, William L
Phone: (920) 921-6800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1044 Wisconsin

Profile Details

NPI number 1295721991
LBN Legal business name Grancare Inc
DBA Doing business as Grancare Nursing And Rehabilitation Center
Authorized official Mackenzie, William L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 22nd, 2020 - 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 1295721991 NPPES
Wisconsin MEDICAID 20193800

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