Ingleside Manor

LBN: Wisconsin Illinois Senior Housing Inc.
Ingleside Manor is an health care organization with primary practice located at 407 N 8Th St , Mount Horeb WI 53572-1872. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Wisconsin Illinois Senior Housing Inc. can be contacted via phone (608) 437-5511, or through Sherman, Stephanie via phone (303) 980-0611.

Contact Information

Primary practice address
407 N 8Th St Mount Horeb WI 53572-1872
Phone: (608) 437-5511
Fax: (608) 437-9603
Website:
Map and Directions
Authorized official contact:
Name: Sherman, Stephanie
Phone: (303) 980-0611

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 0076 Wisconsin
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2287 Wisconsin

Profile Details

NPI number 1659371938
LBN Legal business name Wisconsin Illinois Senior Housing Inc.
DBA Doing business as Ingleside Manor
Authorized official Sherman, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated May 13th, 2020 - about 4 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 1659371938 NPPES
Wisconsin MEDICAID 1518213222

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