Burr Oak Manor, Inc.
LBN: Burr Oak Manor, Inc.
Burr Oak Manor, Inc. is an health care organization with primary practice located at 264 Walworth St , Genoa City WI 53128-2147. The organization recently has 6 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Hospice, Inpatient. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Burr Oak Manor, Inc. can be contacted via phone (262) 279-9990, or through Predick, Pamela S via phone (262) 279-9990.
Contact Information
Primary practice address
264 Walworth St
Genoa City WI 53128-2147
Phone: (262) 279-9990
Fax: (262) 279-9622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 310321 | Wisconsin |
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | 310321 | Wisconsin |
| Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances | 3104A0630X | 310321 | Wisconsin |
| Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X | 310321 | Wisconsin |
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 310321 | Wisconsin |
| Nursing & Custodial Care Facilities / Hospice, Inpatient | 315D00000X | 310321 | Wisconsin |
Profile Details
| NPI number | 1780080473 |
|---|---|
| LBN Legal business name | Burr Oak Manor, Inc. |
| DBA Doing business as | |
| Authorized official | Predick, Pamela S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2014 |
| Last updated | Nov 7th, 2014 - about 12 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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