Premier Rehabilitation & Skilled Nursing

LBN: Lj Iii Health Management Inc.
Premier Rehabilitation & Skilled Nursing is an health care organization with primary practice located at 2121 Pioneer Dr , Beloit WI 53511-3025. 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. Lj Iii Health Management Inc. can be contacted via phone (608) 365-9526, or through Gunderson, Lee via phone (608) 365-9526.

Contact Information

Primary practice address
2121 Pioneer Dr Beloit WI 53511-3025
Phone: (608) 365-9526
Fax: (608) 365-9761
Website:
Map and Directions
Authorized official contact:
Name: Gunderson, Lee
Phone: (608) 365-9526

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3061 Wisconsin

Profile Details

NPI number 1669477659
LBN Legal business name Lj Iii Health Management Inc.
DBA Doing business as Premier Rehabilitation & Skilled Nursing
Authorized official Gunderson, Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 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 1669477659 NPPES
Wisconsin MEDICAID 20185800

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