<Unavail>

LBN: Methodist Manor, Inc.
<Unavail> is an health care organization with primary practice located at 3023 S 84Th St , West Allis WI 53227-3703. The organization recently has 3 registered licenses in different health care specialties including Hospitals / Chronic Disease Hospital, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Methodist Manor, Inc. can be contacted via phone (414) 607-4100, or through Enlund, James via phone (414) 607-4100.

Contact Information

Primary practice address
3023 S 84Th St West Allis WI 53227-3703
Phone: (414) 607-4100
Fax: (414) 607-4502
Website:
Map and Directions
Authorized official contact:
Name: Enlund, James
Phone: (414) 607-4100

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Chronic Disease Hospital 281P00000X 2300 Wisconsin
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 2300 Wisconsin
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2300 Wisconsin

Profile Details

NPI number 1972571628
LBN Legal business name Methodist Manor, Inc.
DBA Doing business as <Unavail>
Authorized official Enlund, James
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 8th, 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 1972571628 NPPES
Wisconsin Other 2300 FACILITY LICENSE NUMBER
Wisconsin MEDICAID 20008100 FACILITY LICENSE NUMBER

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