725 KNAPP ST OPERATING COMPANY, LLC (NPI# 1376903161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376903161 |
| Entity Type | Organization |
| Organization Name | 725 KNAPP ST OPERATING COMPANY, LLC |
| Other Organization Name | ATRIUM POST ACUTE CARE OF CHETEK |
| Practice Address |
1726 N Ballard Rd Appleton WI 54911-2444 |
| Mailing Address |
725 Knapp St Chetek WI 54728-9106 |
| Practice Telephone | 9209919072 |
| Practice Fax Number | 9207494022 |
| Mailing Telephone | 7159244891 |
| Mailing Fax Number | 7159244796 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | KEVIN P BRESLIN (MANAGER) |
| Authorized Official Telephone | 9733398892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2021 | WI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Atrium Post Acute Care of Chetek | Doing Business As Name - Organization |
| Street Address |
1726 N BALLARD RD |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| 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 |
|---|---|---|---|---|
| 1770530990 | Franciscan Care and Rehabilitation Center, Inc. | Skilled Nursing Facility | 2915 N Meade St, Appleton, WI 54911-1509 | 2006-05-31 |
| 1679529077 | Manorcare Health Services LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2006-05-26 |
| 1639167430 | County of Outagamie | Skilled Nursing Facility | 3300 W Brewster St, Appleton, WI 54914 | 2005-10-06 |
| 1386642874 | Tdr, Inc. | Skilled Nursing Facility | 325 E Florida Ave, Appleton, WI 54911-1325 | 2005-07-08 |
| 1275130403 | Appleton Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-10-01 |
| 1194355909 | Edenbrook On Meade Nursing and Rehab LLC | Skilled Nursing Facility | 2915 N Meade St, Appleton, WI 54911-1509 | 2020-01-21 |
| 1710517529 | Edenbrook On Oneida Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-01-21 |
| 1851749576 | Rennes Rehabilitation | Skilled Nursing Facility | 325 E Florida Ave, Appleton, WI 54911-1325 | 2016-06-03 |
| 1639535099 | 601 Briarcliff Drive Operating Company, LLC | Skilled Nursing Facility | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2016-01-14 |
| 1285012872 | Fox Valley Transitional Care LLC | Skilled Nursing Facility | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2015-05-14 |
| Find all providers in APPLETON | ||||
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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.