HP SUPERIOR INC (NPI# 1356374367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356374367 |
Entity Type | Organization |
Organization Name | HP SUPERIOR INC |
Practice Address |
1800 New York Ave Superior WI 54880-2008 |
Mailing Address |
925 N Point Pkwy Suite 440 Alpharetta GA 30005-5210 |
Practice Telephone | 7153945591 |
Practice Fax Number | 7153945098 |
Mailing Telephone | 7706190866 |
Mailing Fax Number | 7708702892 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. DOUGLAS K MITTLEIDER (PRESIDENT) |
Authorized Official Telephone | 7706190866 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 2578 | WI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 20192500 | 05 |
Street Address |
1800 NEW YORK AVE |
City | SUPERIOR |
State | WI |
Zip Code | 54880-2008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154963049 | Integrated Wound Care Management Wisconsin LLC | General Practice | 1800 New York Ave, Superior, WI 54880-2008 | 2019-10-11 |
1457859837 | Denise Marie Latscher | Occupational Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2018-01-31 |
1821520420 | Superior Rehabilitation Center LLC | Skilled Nursing Facility | 1800 New York Ave, Superior, WI 54880-2008 | 2017-04-02 |
1215487277 | Eastern Podiatry Pllc | Podiatrist | 1800 New York Ave, Superior, WI 54880-2008 | 2016-10-13 |
1053794446 | Superior Wi Management, LLC | Skilled Nursing Facility | 1800 New York Ave, Superior, WI 54880-2008 | 2015-07-02 |
1639413701 | Kimberly Wischer | Physical Therapist | 1800 New York Ave, Superior, WI 54880-2008 | 2012-11-15 |
1699049841 | Maxine E. Coder | Physical Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2012-03-06 |
1659645026 | Susan Kay Ostern | Occupational Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2012-03-02 |
1184850026 | Susan Nowak | Physical Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2009-06-05 |
1174758551 | Christina Marie Leuzzo | Community Health Worker | 1800 New York Ave, Superior, WI 54880-2008 | 2009-05-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
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Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720389455 | Bella Vista Health and Rehabilitation Center, LLC | Skilled Nursing Facility | 1900 New York Ave, Superior, WI 54880-2083 | 2010-11-11 |
1730139478 | Ggnsc Superior LLC | Skilled Nursing Facility | 1612 N 37th St, Superior, WI 54880-5404 | 2006-05-11 |
1134123573 | Villa Marina Health and Rehabilitation Center Inc | Skilled Nursing Facility | 35 North 28th Street, Superior, WI 54880-5557 | 2005-06-13 |
1821520420 | Superior Rehabilitation Center LLC | Skilled Nursing Facility | 1800 New York Ave, Superior, WI 54880-2008 | 2017-04-02 |
1669914537 | Nsh Superior LLC | Skilled Nursing Facility | 1612 N 37th St, Superior, WI 54880-5404 | 2016-11-09 |
1053794446 | Superior Wi Management, LLC | Skilled Nursing Facility | 1800 New York Ave, Superior, WI 54880-2008 | 2015-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
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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.