METHODIST MANOR, INC. (NPI# 1972571628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972571628 |
| Entity Type | Organization |
| Organization Name | METHODIST MANOR, INC. |
| Other Organization Name | PALMER CENTER |
| Practice Address |
3023 S 84th St West Allis WI 53227-3703 |
| Practice Telephone | 4146074100 |
| Practice Fax Number | 4146074502 |
| Mailing Telephone | 4146074100 |
| Mailing Fax Number | 4146074502 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | MR. JAMES ENLUND (PRESIDENT & CEO) |
| Authorized Official Telephone | 4146074100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 281P00000X | Chronic Disease Hospital | 2300 | WI | Hospitals |
| N | 314000000X | Skilled Nursing Facility | 2300 | WI | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2300 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | FACILITY LICENSE NUMBER | 2300 | 01 |
| WI | 20008100 | 05 |
| Other Name | Type Code |
|---|---|
| Palmer Center | Doing Business As Name - Organization |
| Street Address |
3023 S 84TH ST |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029207 | Morgan Bushke | Occupational Therapist | 3023 S 84th St, West Allis, WI 53227-3703 | 2020-07-02 |
| 1932732278 | Kristin Michelle Zenz | Speech-Language Pathologist | 3023 S 84th St, West Allis, WI 53227-3703 | 2020-02-14 |
| 1629536503 | Stephanie Lauren Lukitsh | Occupational Therapist | 3023 S 84th St, West Allis, WI 53227-3703 | 2019-03-09 |
| 1588993885 | Krista Victoria Gehringer | Occupational Therapist | 3023 S 84th St, West Allis, WI 53227-3703 | 2009-12-15 |
| 1962582064 | Sylvia Winter | Pharmacist | 3023 S 84th St, West Allis, WI 53227-3703 | 2006-10-16 |
| 1962582056 | Scott Treland | Pharmacist | 3023 S 84th St, West Allis, WI 53227-3703 | 2006-10-16 |
| 1366522468 | William Wyatt Whitley II | Pharmacist | 3023 S 84th St, West Allis, WI 53227-3703 | 2006-10-16 |
| 1649247453 | Methodist Manor Inc | Assisted Living Facility | 3023 S 84th St, West Allis, WI 53227-3703 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504600 | North Oak Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 1510 S 30th St, Manitowoc, WI 54220-5902 | 2017-05-11 |
| 1235685132 | Richard Hobin II | Nursing Facility/Intermediate Care Facility | 545 Hillcrest St, Viroqua, WI 54665-1750 | 2016-08-30 |
| 1154723955 | Amber Schmidt | Nursing Facility/Intermediate Care Facility | 113 Baehr St, Cecil, WI 54111-9204 | 2014-09-23 |
| 1184051047 | Amlang LLC | Nursing Facility/Intermediate Care Facility | 8303 Doe Glen Ct, Mount Pleasant, WI 53406-1756 | 2013-10-08 |
| 1427481480 | Madison College | Nursing Facility/Intermediate Care Facility | 1701 Wright St, Madison, WI 53704-2599 | 2013-08-14 |
| 1326310525 | Kate Droster | Nursing Facility/Intermediate Care Facility | 1227 Commonwealth Dr Apt 3, Fort Atkinson, WI 53538-3302 | 2012-02-02 |
| 1659640662 | Debra Jean Schwenn | Nursing Facility/Intermediate Care Facility | 2446 South 102nd Street Suite 340, Mj Care, Milwaukee, WI 53227 | 2011-12-20 |
| 1982999090 | Divine Healthcare Services | Nursing Facility/Intermediate Care Facility | 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI 53209-1026 | 2011-06-16 |
| 1043501893 | Denise L Holterman | Nursing Facility/Intermediate Care Facility | 27334 Foxhaven Dr, Wind Lake, WI 53185-1978 | 2011-04-27 |
| 1083937759 | Va Health Care System (644) | Nursing Facility/Intermediate Care Facility | 911 Skyview Ave, Little Chute, WI 54140-2627 | 2010-03-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.