Becker Shoop Center

LBN: Lincoln Lutheran Community Care Corporation
Becker Shoop Center is an health care organization with primary practice located at 6101 16Th Street , Racine WI 53406. 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. Lincoln Lutheran Community Care Corporation can be contacted via phone (262) 637-7486, or through Bova, Fred Richard via phone (262) 898-2701.

Contact Information

Primary practice address
6101 16Th Street Racine WI 53406
Phone: (262) 637-7486
Fax: (262) 633-3045
Website:
Map and Directions
Authorized official contact:
Name: Bova, Fred Richard CPA
Phone: (262) 898-2701

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3179 Wisconsin

Profile Details

NPI number 1871677963
LBN Legal business name Lincoln Lutheran Community Care Corporation
DBA Doing business as Becker Shoop Center
Authorized official Bova, Fred Richard CPA
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Feb 16th, 2012 - about 13 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 1871677963 NPPES
Wisconsin MEDICAID 20177300

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