PLYMOUTH CARE CENTER LLC (NPI# 1952394124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952394124 |
| Entity Type | Organization |
| Organization Name | PLYMOUTH CARE CENTER LLC |
| Other Organization Name | D/B/A ATRIUM POST ACUTE CARE OF PLYMOUTH |
| Practice Address |
916 E Clifford St Plymouth WI 53073-2438 |
| Mailing Address |
1726 N Ballard Rd Appleton WI 54911-2444 |
| Practice Telephone | 9208934777 |
| Practice Fax Number | 9208932470 |
| Mailing Telephone | 9209919072 |
| Mailing Fax Number | 9207494021 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2015-05-27 |
| Authorized Official Name | ROBERT M PARKINS (PRESIDENT) |
| Authorized Official Telephone | 9203649754 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3169 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20193700 | 05 |
| Other Name | Type Code |
|---|---|
| D/B/A ATRIUM POST ACUTE CARE OF PLYMOUTH | Doing Business As Name - Organization |
| Street Address |
916 E CLIFFORD ST |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831732775 | Nsh Plymouth LLC | Skilled Nursing Facility | 916 E Clifford St, Plymouth, WI 53073-2468 | 2019-10-23 |
| 1588096663 | Joel James Sabourin | Physical Therapist | 916 E Clifford St, Plymouth, WI 53073-2468 | 2013-07-31 |
| 1053605675 | Diane Rochelle Kaestner | Physical Therapist | 916 E Clifford St, Plymouth, WI 53073-2468 | 2011-05-31 |
| 1992916746 | Lori M Kuhn | Physical Therapy Assistant | 916 E Clifford St, Plymouth, WI 53073-2438 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| 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 |
|---|---|---|---|---|
| 1396127213 | Lcs-westminster Partnership V LLP | Skilled Nursing Facility | 14585 59th Ave N, Plymouth, MN 55446-3872 | 2015-06-27 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1750712345 | Rj's Home Health Care, LLC | Skilled Nursing Facility | 5875 Teakwood Ln N, Unit B, Plymouth, MN 55442-1487 | 2013-12-06 |
| 1497185748 | Laurine Margaret Ringer | Skilled Nursing Facility | 10560 Nutmeg Trl, Plymouth, IN 46563-7515 | 2013-11-24 |
| 1396990370 | New Living LLC | Skilled Nursing Facility | 1020 W Medicine Lake Dr, Plymouth, MN 55441-4513 | 2008-11-18 |
| 1205979457 | Cook Willow Convalescent Hospital, Inc. | Skilled Nursing Facility | 81 Hillside Ave, Plymouth, CT 06782-2305 | 2007-02-15 |
| 1003988049 | County of Sheboygan | Skilled Nursing Facility | N7135 Rocky Knoll Pkwy, Plymouth, WI 53073-3103 | 2006-11-14 |
| 1942213954 | Mission Farm Nursing Home, Inc | Skilled Nursing Facility | 3401 E Medicine Lake Blvd, Plymouth, MN 55441-2307 | 2006-08-14 |
| 1700828357 | Heartland-plymouth Court Mi LLC | Skilled Nursing Facility | 105 N Haggerty Rd, Plymouth, MI 48170-1801 | 2006-06-11 |
| 1699727560 | Ggnsc Plymouth LLC | Skilled Nursing Facility | 19 Obery St, Plymouth, MA 02360-2129 | 2006-05-17 |
| Find all providers in PLYMOUTH | ||||
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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.