Villa Pines Living Center

LBN: Villa Pines Facilities Llc
Villa Pines Living Center is an health care organization with primary practice located at 201 S Park Ave , Friendship WI 53934-9377. 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. Villa Pines Facilities Llc can be contacted via phone (608) 339-3361, or through Shvetzoff, Sergei via phone (763) 537-5700.

Contact Information

Primary practice address
201 S Park Ave Friendship WI 53934-9377
Phone: (608) 339-3361
Fax: (608) 339-9468
Website:
Map and Directions
Authorized official contact:
Name: Shvetzoff, Sergei
Phone: (763) 537-5700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3089 Wisconsin

Profile Details

NPI number 1750357687
LBN Legal business name Villa Pines Facilities Llc
DBA Doing business as Villa Pines Living Center
Authorized official Shvetzoff, Sergei
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2006
Last updated Nov 6th, 2019 - about 7 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 1750357687 NPPES
Wisconsin MEDICAID 20196000

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