Manor Care Pewaukee

LBN: Manor Care Pewaukee
Manor Care 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. Manor Care Pewaukee can be contacted via phone (262) 523-0933, or through Pieper, Kaelan Cleone via phone (262) 523-0933.

Contact Information

Primary practice address
N26W23977 Watertown Rd Waukesha WI 53188-1006
Phone: (262) 523-0933
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pieper, Kaelan Cleone
Phone: (262) 523-0933

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1997-27 Wisconsin

Profile Details

NPI number 1548404791
LBN Legal business name Manor Care Pewaukee
DBA Doing business as
Authorized official Pieper, Kaelan Cleone
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2009
Last updated Apr 30th, 2009 - about 17 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 1548404791 NPPES
Wisconsin MEDICAID 20199600

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