Hales Corners Care Center

LBN: Regency Terrace South, Inc
Hales Corners Care Center is an health care organization with primary practice located at 9449 W Forest Home Ave , Hales Corners WI 53130-1611. 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. Regency Terrace South, Inc can be contacted via phone (414) 529-6888, or through Berg, Cynthia via phone (414) 529-6888.

Contact Information

Primary practice address
9449 W Forest Home Ave Hales Corners WI 53130-1611
Phone: (414) 529-6888
Fax: (414) 529-1271
Website:
Map and Directions
Authorized official contact:
Name: Berg, Cynthia
Phone: (414) 529-6888

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3172 Wisconsin

Profile Details

NPI number 1003813569
LBN Legal business name Regency Terrace South, Inc
DBA Doing business as Hales Corners Care Center
Authorized official Berg, Cynthia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 12th, 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 1003813569 NPPES
Wisconsin MEDICAID 20176900

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