Wi Veterans Home Union Grove

LBN: State Of Wisconsin
Wi Veterans Home Union Grove is an health care organization with primary practice located at 21425G Spring St , Union Grove WI 53182-9707. 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. State Of Wisconsin can be contacted via phone (262) 878-6700, or through Seibert, Susan via phone (262) 878-6724.

Contact Information

Primary practice address
21425G Spring St Union Grove WI 53182-9707
Phone: (262) 878-6700
Fax: (262) 878-6758
Website:
Map and Directions
Authorized official contact:
Name: Seibert, Susan
Phone: (262) 878-6724

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5024 Wisconsin

Profile Details

NPI number 1225152861
LBN Legal business name State Of Wisconsin
DBA Doing business as Wi Veterans Home Union Grove
Authorized official Seibert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated May 17th, 2017 - about 9 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 1225152861 NPPES
Wisconsin MEDICAID 20197800

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