<Unavail>

LBN: River Valley Nursing Home, Inc
<Unavail> is an health care organization with primary practice located at 501 S Winsted St , Spring Green WI 53588-9435. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. River Valley Nursing Home, Inc can be contacted via phone (608) 588-2586, or through Gorman, Brian via phone (608) 588-0513.

Contact Information

Primary practice address
501 S Winsted St Spring Green WI 53588-9435
Phone: (608) 588-2586
Fax: (608) 588-7410
Website:
Map and Directions
Authorized official contact:
Name: Gorman, Brian
Phone: (608) 588-0513

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1928 Wisconsin
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2470 Wisconsin

Profile Details

NPI number 1972504835
LBN Legal business name River Valley Nursing Home, Inc
DBA Doing business as <Unavail>
Authorized official Gorman, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2005
Last updated Aug 11th, 2023 - about 3 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 1972504835 NPPES
Wisconsin MEDICAID 20144800

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