Geneva Lake Manor

LBN: Wisconsin Illinois Senior Housing Inc.
Geneva Lake Manor is an health care organization with primary practice located at 211 S Curtis St , Lake Geneva WI 53147-2052. 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. Wisconsin Illinois Senior Housing Inc. can be contacted via phone (262) 248-3145, or through Sherman, Stephanie L. via phone (303) 980-0611.

Contact Information

Primary practice address
211 S Curtis St Lake Geneva WI 53147-2052
Phone: (262) 248-3145
Fax: (262) 248-3564
Website:
Map and Directions
Authorized official contact:
Name: Sherman, Stephanie L.
Phone: (303) 980-0611

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2693 Wisconsin

Profile Details

NPI number 1336141357
LBN Legal business name Wisconsin Illinois Senior Housing Inc.
DBA Doing business as Geneva Lake Manor
Authorized official Sherman, Stephanie L.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated May 13th, 2020 - about 6 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 1336141357 NPPES
Wisconsin MEDICAID 20184200

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