MRS. DENISE L HOLTERMAN


Address: 27334 Foxhaven Dr, Wind Lake, WI 53185-1978
Phone: 2628952207

MRS. DENISE L HOLTERMAN (NPI# 1043501893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043501893
Entity Type Individual
Full Name MRS. DENISE L HOLTERMAN
Other Name MRS. DENISE L BORCHARDT
Credential OT
Practice Address 27334 Foxhaven Dr
Wind Lake
WI 53185-1978
Practice Telephone 2628952207
Mailing Telephone 2628952207
Enumeration Date 2011-04-27
Last Update Date 2011-04-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities

Office Location

Street Address 27334 FOXHAVEN DR
City WIND LAKE
State WI
Zip Code 53185-1978

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1750762472 Tesalia R Renteria Family Medicine 818 Forest Ln, Waterford, WI 53185 2015-06-18
1649651092 Kathryn C Halyko Pediatrics 818 Forest Ln, Waterford, WI 53185 2015-06-11
1518109735 Daniel A Allison Family Medicine 818 Forest Ln, Waterford, WI 53185 2009-04-02
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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Competitor

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City WIND LAKE
Zip Code 53185

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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