Clement Manor, Inc.

LBN: Clement Manor, Inc.
Clement Manor, Inc. is an health care organization with primary practice located at 3939 S 92Nd St , Greenfield WI 53228-2140. 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. Clement Manor, Inc. can be contacted via phone (414) 321-1800, or through Ferger, Dennis via phone (414) 546-7330.

Contact Information

Primary practice address
3939 S 92Nd St Greenfield WI 53228-2140
Phone: (414) 321-1800
Fax: (414) 546-7357
Website:
Map and Directions
Authorized official contact:
Name: Ferger, Dennis
Phone: (414) 546-7330

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2724 Wisconsin

Profile Details

NPI number 1114923935
LBN Legal business name Clement Manor, Inc.
DBA Doing business as
Authorized official Ferger, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1114923935 NPPES
Wisconsin MEDICAID 20113300

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