BIRCH HAVEN SENIOR LIVING, INC. (NPI# 1720375033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720375033 |
| Entity Type | Organization |
| Organization Name | BIRCH HAVEN SENIOR LIVING, INC. |
| Practice Address |
218 22nd Ave W Ashland WI 54806-1021 |
| Practice Telephone | 7152926444 |
| Practice Fax Number | 7152926446 |
| Mailing Telephone | 7152926444 |
| Mailing Fax Number | 7152926446 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | MR. JAMES BIRCHEM (PRESIDENT) |
| Authorized Official Telephone | 3206314100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
0013775 | WI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700164233 | Birch Haven Senior Living, Inc. | Assisted Living Facility | 1019 15th Ave W, Ashland, WI 54806-2772 | 2011-08-02 |
| Street Address |
218 22ND AVE W |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879614 | Nejia Mitchell | Assisted Living Facility | 4104 N 63rd St, Milwaukee, WI 53216-1241 | 2020-04-08 |
| 1972154789 | Mindstar Residential Community | Assisted Living Facility | 5901 W Brown Deer Rd Unit 109, Brown Deer, WI 53223-2338 | 2019-09-23 |
| 1780080473 | Burr Oak Manor, Inc. | Assisted Living Facility | 264 Walworth St, Genoa City, WI 53128-2147 | 2014-11-07 |
| 1043635923 | Divine Living Afh LLC | Assisted Living Facility | 7752 W Brentwood Ave, Milwaukee, WI 53223-6106 | 2014-02-28 |
| 1518304104 | Springbrook Community Assisted Living Inc | Assisted Living Facility | 861 Critter Ct, Onalaska, WI 54650-8689 | 2013-05-23 |
| 1366795957 | Cornerstone Adult Family Homes | Assisted Living Facility | N3445 Como Rd Stop 7, Lake Geneva, WI 53147-2658 | 2012-10-19 |
| 1720344237 | Familylivingllc | Assisted Living Facility | 9120 N 94th St, Milwaukee, WI 53224-1705 | 2012-04-09 |
| 1194017194 | Angela Sueline Carroll | Assisted Living Facility | 6228 W Kaul Ave Apt 1, Milwaukee, WI 53218-1527 | 2011-05-09 |
| 1922327634 | Americanway of Madison LLC | Assisted Living Facility | 734 Mesta Ln, Madison, WI 53704-7843 | 2010-05-19 |
| 1306162706 | Country Grove Home LLC | Assisted Living Facility | N11151 17th Ave, Necedah, WI 54646-7619 | 2010-04-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BIRCH HAVEN SENIOR LIVING, INC..
| 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.