Shell Lake Health Care Center

LBN: Shell Lake Snf Llc
Shell Lake Health Care Center is an health care organization with primary practice located at 802 E Cty Hwy B , Shell Lake WI 54871. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Shell Lake Snf Llc can be contacted via phone (715) 468-4292, or through Hansen, Jonathon William via phone (320) 828-7310.

Contact Information

Primary practice address
802 E Cty Hwy B Shell Lake WI 54871
Phone: (715) 468-4292
Fax: (715) 468-4232
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Jonathon William
Phone: (320) 828-7310

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 2748 Wisconsin
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Wisconsin

Profile Details

NPI number 1295939049
LBN Legal business name Shell Lake Snf Llc
DBA Doing business as Shell Lake Health Care Center
Authorized official Hansen, Jonathon William
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2007
Last updated Oct 13th, 2021 - about 3 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 1295939049 NPPES
Wisconsin Other 2748 BUSINESS LICENSE NUMBER

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