Grande Prairie Health And Rehabilitation Center
LBN: Ssc Pleasant Prairie Operating Company Llc
Grande Prairie Health And Rehabilitation Center is an health care organization with primary practice located at 10330 Prairie Ridge Blvd , Pleasant Prairie WI 53158-1947. 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.
Ssc Pleasant Prairie Operating Company Llc can be contacted via phone (262) 612-2800, or through Simons, Thomas P. via phone (770) 829-5100.
Contact Information
Primary practice address
10330 Prairie Ridge Blvd
Pleasant Prairie WI 53158-1947
Phone: (262) 612-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 5005 | Wisconsin |
Profile Details
| NPI number | 1003937475 |
|---|---|
| LBN Legal business name | Ssc Pleasant Prairie Operating Company Llc |
| DBA Doing business as | Grande Prairie Health And Rehabilitation Center |
| Authorized official | Simons, Thomas P. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Nov 17th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003937475 | NPPES |
| Wisconsin | MEDICAID | 20194800 | |
| Wisconsin | Other | 20186700WI |
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