Sheboygan Senior Community, Inc.

LBN: Sheboygan Senior Community, Inc.
Sheboygan Senior Community, Inc. is an health care organization with primary practice located at 3505 Cty Rd. Y , Sheboygan WI 53083-2400. 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. Sheboygan Senior Community, Inc. can be contacted via phone (920) 458-2137, or through Kleist, Joan via phone (920) 458-2137.

Contact Information

Primary practice address
3505 Cty Rd. Y Sheboygan WI 53083-2400
Phone: (920) 458-2137
Fax: (920) 458-5922
Website:
Map and Directions
Authorized official contact:
Name: Kleist, Joan RN, HNA
Phone: (920) 458-2137

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2662 Wisconsin

Profile Details

NPI number 1831197425
LBN Legal business name Sheboygan Senior Community, Inc.
DBA Doing business as
Authorized official Kleist, Joan RN, HNA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 23rd, 2015 - 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 1831197425 NPPES
Wisconsin MEDICAID 20158600

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