Manorcare Health Services-West

LBN: Manor Care Of Green Bay Wi (West) Llc
Manorcare Health Services-West is an health care organization with primary practice located at 1760 Shawano Ave , Green Bay WI 54303-3216. 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. Manor Care Of Green Bay Wi (West) Llc can be contacted via phone (920) 499-5191, or through Allen, Martin D via phone (419) 252-5743.

Contact Information

Primary practice address
1760 Shawano Ave Green Bay WI 54303-3216
Phone: (920) 499-5191
Fax: (920) 499-8959
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5743

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2845 Wisconsin

Profile Details

NPI number 1205882149
LBN Legal business name Manor Care Of Green Bay Wi (West) Llc
DBA Doing business as Manorcare Health Services-West
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated May 11th, 2017 - about 7 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 1205882149 NPPES
Wisconsin MEDICAID 20199800

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