Manorcare Health Services-Pewaukee

LBN: Heartland-Pewauke Of Waukesha Wi Llc
Manorcare Health Services-Pewaukee is an health care organization with primary practice located at N26W23977 Watertown Rd , Waukesha WI 53188-1006. 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. Heartland-Pewauke Of Waukesha Wi Llc can be contacted via phone (262) 523-0933, or through Allen, Martin D via phone (419) 252-5734.

Contact Information

Primary practice address
N26W23977 Watertown Rd Waukesha WI 53188-1006
Phone: (262) 523-0933
Fax: (262) 523-1674
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5734

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3248 Wisconsin

Profile Details

NPI number 1770530891
LBN Legal business name Heartland-Pewauke Of Waukesha Wi Llc
DBA Doing business as Manorcare Health Services-Pewaukee
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Feb 26th, 2016 - about 9 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 1770530891 NPPES
Wisconsin MEDICAID 20199600

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