Manitowoc Health Care Center Llc

LBN: Manitowoc Health Care Center Llc
Manitowoc Health Care Center Llc is an health care organization with primary practice located at 2021 S Alverno Rd , Manitowoc WI 54220-9208. 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. Manitowoc Health Care Center Llc can be contacted via phone (920) 683-4100, or through Shvetzoff, Sergei via phone (763) 537-5700.

Contact Information

Primary practice address
2021 S Alverno Rd Manitowoc WI 54220-9208
Phone: (920) 683-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shvetzoff, Sergei
Phone: (763) 537-5700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2398 Wisconsin

Profile Details

NPI number 1548264260
LBN Legal business name Manitowoc Health Care Center Llc
DBA Doing business as
Authorized official Shvetzoff, Sergei
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated Nov 6th, 2019 - about 6 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 1548264260 NPPES
Wisconsin MEDICAID 20200900

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