VA HEALTH CARE SYSTEM (644) (NPI# 1083937759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083937759 |
Entity Type | Organization |
Organization Name | VA HEALTH CARE SYSTEM (644) |
Practice Address |
911 Skyview Ave Little Chute WI 54140-2627 |
Practice Telephone | 9209151499 |
Mailing Telephone | 9209151499 |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-03-09 |
Authorized Official Name | MR. DANIEL T FALE (REGISTERED NURSE) |
Authorized Official Telephone | 9209151499 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 159500-30 | WI | Nursing & Custodial Care Facilities |
Street Address |
911 SKYVIEW AVE |
City | LITTLE CHUTE |
State | WI |
Zip Code | 54140-2627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841335536 | Dann Norbert Pynenberg | Dentist | 607 Wilson Street, Little Chute, WI 54140 | 2007-02-20 |
1043207707 | Peter J Kordiyak | Physician Assistant | 200 Patriot Drive, Little Chute, WI 54140 | 2005-09-28 |
1144731498 | Paul R Garcia | Family Medicine | 200 Patriot Dr, Little Chute, WI 54140 | 2017-10-13 |
1538451307 | Jessica L Peterson | Family Medicine | 200 Patriot Drive, Little Chute, WI 54140 | 2011-05-11 |
1043478324 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 200 Patriot Dr, Little Chute, WI 54140 | 2008-05-23 |
1164550208 | Ebben & Pynenberg Dds Sc | Dentist | 607 Wilson St, Little Chute, WI 54140 | 2007-03-01 |
1134264922 | Michael Charles Ebben | Dentist | 607 Wilson St, Little Chute, WI 54140 | 2007-02-20 |
1245335165 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 200 Patriot Dr, Little Chute, WI 54140 | 2006-09-14 |
1366809758 | Katie Woldt | Registered Nurse | 1502 Biscayne Dr, Little Chute, WI 54140-1006 | 2016-01-15 |
1770878233 | Isabelle Holdridge | Registered Nurse | 1030f W Elm Dr Apt 16, Little Chute, WI 54140-1099 | 2011-06-13 |
Find all providers in zip 54140 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629504600 | North Oak Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 1510 S 30th St, Manitowoc, WI 54220-5902 | 2017-05-11 |
1235685132 | Richard Hobin II | Nursing Facility/Intermediate Care Facility | 545 Hillcrest St, Viroqua, WI 54665-1750 | 2016-08-30 |
1154723955 | Amber Schmidt | Nursing Facility/Intermediate Care Facility | 113 Baehr St, Cecil, WI 54111-9204 | 2014-09-23 |
1184051047 | Amlang LLC | Nursing Facility/Intermediate Care Facility | 8303 Doe Glen Ct, Mount Pleasant, WI 53406-1756 | 2013-10-08 |
1427481480 | Madison College | Nursing Facility/Intermediate Care Facility | 1701 Wright St, Madison, WI 53704-2599 | 2013-08-14 |
1326310525 | Kate Droster | Nursing Facility/Intermediate Care Facility | 1227 Commonwealth Dr Apt 3, Fort Atkinson, WI 53538-3302 | 2012-02-02 |
1659640662 | Debra Jean Schwenn | Nursing Facility/Intermediate Care Facility | 2446 South 102nd Street Suite 340, Mj Care, Milwaukee, WI 53227 | 2011-12-20 |
1982999090 | Divine Healthcare Services | Nursing Facility/Intermediate Care Facility | 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI 53209-1026 | 2011-06-16 |
1043501893 | Denise L Holterman | Nursing Facility/Intermediate Care Facility | 27334 Foxhaven Dr, Wind Lake, WI 53185-1978 | 2011-04-27 |
1861661308 | Cedar Springs Health & Rehadilitation Center | Nursing Facility/Intermediate Care Facility | 961 Lamplighter Ln, Grafton, WI 53024-9314 | 2008-02-28 |
Find all providers with the same taxonomy |
City | LITTLE CHUTE |
Zip Code | 54140 |
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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.