THE LUTHERAN HOME COCHRANE (NPI# 1811019870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811019870 |
| Entity Type | Organization |
| Organization Name | THE LUTHERAN HOME COCHRANE |
| Practice Address |
400 S Main St Cochrane WI 54622-7251 |
| Practice Telephone | 6082482658 |
| Practice Fax Number | 6082482658 |
| Mailing Telephone | 6082482658 |
| Mailing Fax Number | 6082482658 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA STINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 6082482658 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | CBRF817 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WI DEPT OF HEALTH | CBRF817 | 01 |
| Street Address |
400 S MAIN ST |
| City | COCHRANE |
| State | WI |
| Zip Code | 54622-7251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124343025 | Mork Dental, Sc | Dentist | 241 N. Main St., Cochrane, WI 54622 | 2010-04-02 |
| 1629200258 | Ioannis Karavas | Internal Medicine | Lassani 4, Thessaloniki, THESSALONIKI 54622 | 2009-08-16 |
| 1508083528 | Desiree Michele Mork | Dentist | 241 N. Main Street, Cochrane, WI 54622 | 2007-04-19 |
| 1831220169 | Dawn Marie St. Clair | Licensed Practical Nurse | 118 N Circle Drive, Buffalo City, WI 54622 | 2007-03-08 |
| 1013187806 | Roland W Pardun | Dentist | 241 N Main St, Cochrane, WI 54622 | 2008-03-07 |
| 1740356229 | Roland W Pardun Dds Sc | Clinic/Center | 241 N Main St, Cochrane, WI 54622 | 2006-11-28 |
| 1326093824 | Scenic Valley Emergency Medical Services Incorporated | Ambulance | 102 E 5th St, Cochrane, WI 54622 | 2006-05-23 |
| 1649470980 | Myrna J Conway | Licensed Practical Nurse | 272 W 14th St, Buffalo City, WI 54622-7186 | 2007-07-24 |
| 1659926699 | Shelby Lynn Spence | Registered Nurse | 107 Wisconsin Ave, Cochrane, WI 54622-7311 | 2019-08-06 |
| 1336764570 | Jessica Kathleen Mattson | Registered Nurse | 107 Wisconsin Ave, Cochrane, WI 54622-7311 | 2020-06-13 |
| Find all providers in zip 54622 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654534 | Praitie Assisted Living Inc. | Assisted Living Facility | 749 E Oshkosh St, Ripon, WI 54971-1258 | 2020-09-22 |
| 1295340016 | St. Elizabeth Manor, Inc. | Assisted Living Facility | 111 Commercial Dr, Footville, WI 53537 | 2020-09-09 |
| 1730793001 | Zinzendorf Hall, Inc. | Assisted Living Facility | 1047 Hill St, Watertown, WI 53098-3015 | 2020-09-03 |
| 1184236044 | Francine Carter | Assisted Living Facility | 4341 N 19th St, Milwaukee, WI 53209-6831 | 2020-08-20 |
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1003427766 | Nohc Magnolia Meadows LLC | Assisted Living Facility | 1480 N 7th St, Manitowoc, WI 54220-2012 | 2020-08-14 |
| 1922616580 | Rheuvonia Reed | Assisted Living Facility | 543 E Arbor Cir, Oak Creek, WI 53154-8528 | 2020-07-20 |
| 1912515073 | Baldwin Coh, LLC | Assisted Living Facility | 1880 4th Ave, Baldwin, WI 54002-5134 | 2020-07-15 |
| 1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
| 1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
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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.