Crossroads Care Center Of Pewaukee

LBN: Ccc Of Pewaukee Llc
Crossroads Care Center Of Pewaukee is an health care organization with primary practice located at N26W23977 Watertown Rd , Waukesha WI 53188-1006. 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. Ccc Of Pewaukee Llc can be contacted via phone (847) 983-4860, or through Merzel, David via phone (847) 983-4860.

Contact Information

Primary practice address
N26W23977 Watertown Rd Waukesha WI 53188-1006
Phone: (847) 983-4860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Merzel, David
Phone: (847) 983-4860

Health care specialties

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

Profile Details

NPI number 1578049995
LBN Legal business name Ccc Of Pewaukee Llc
DBA Doing business as Crossroads Care Center Of Pewaukee
Authorized official Merzel, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2018
Last updated Dec 9th, 2018 - about 8 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 1578049995 NPPES
Wisconsin MEDICAID 000000000
Wisconsin MEDICAID 1578049995

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