Heritage Manor

LBN: First American Enterprises, Inc
Heritage Manor is an health care organization with primary practice located at 19 West Newton St , Rice Lake WI 54868-1744. 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. First American Enterprises, Inc can be contacted via phone (715) 234-2161, or through Denucci, Darlene A via phone (715) 234-2161.

Contact Information

Primary practice address
19 West Newton St Rice Lake WI 54868-1744
Phone: (715) 234-2161
Fax: (715) 234-1705
Website:
Map and Directions
Authorized official contact:
Name: Denucci, Darlene A
Phone: (715) 234-2161

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2463 Wisconsin

Profile Details

NPI number 1801892435
LBN Legal business name First American Enterprises, Inc
DBA Doing business as Heritage Manor
Authorized official Denucci, Darlene A
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 28th, 2005
Last updated Jul 14th, 2008 - about 18 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 1801892435 NPPES
Wisconsin MEDICAID 20156200

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