Capitol Lakes Inc.

LBN: Capitol Lakes Inc.
Capitol Lakes Inc. is an health care organization with primary practice located at 333 W Main St , Madison WI 53703-2777. 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. Capitol Lakes Inc. can be contacted via phone (608) 283-2141, or through Mclemore, Brian via phone (541) 857-7215.

Contact Information

Primary practice address
333 W Main St Madison WI 53703-2777
Phone: (608) 283-2141
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mclemore, Brian
Phone: (541) 857-7215

Health care specialties

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

Profile Details

NPI number 1902877632
LBN Legal business name Capitol Lakes Inc.
DBA Doing business as Capitol Lakes Inc.
Authorized official Mclemore, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 19th, 2011 - about 15 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 1902877632 NPPES
Wisconsin MEDICAID 20124200

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