Pine View Nursing Home

LBN: Jackson Pine View Healthcare, Llc
Pine View Nursing Home is an health care organization with primary practice located at 400 County Road R , Black River Falls WI 54615-5129. 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. Jackson Pine View Healthcare, Llc can be contacted via phone (715) 284-5396, or through Marsh, Dawn M via phone (608) 242-5024.

Contact Information

Primary practice address
400 County Road R Black River Falls WI 54615-5129
Phone: (715) 284-5396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marsh, Dawn M
Phone: (608) 242-5024

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2440 Wisconsin

Profile Details

NPI number 1831209709
LBN Legal business name Jackson Pine View Healthcare, Llc
DBA Doing business as Pine View Nursing Home
Authorized official Marsh, Dawn M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 17th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831209709 NPPES
Wisconsin MEDICAID 20198400

Popular Providers