EVANSVILLE MANOR NURSING AND REHAB, LLC


Address: 470 Garfield Ave, Evansville, WI 53536-1099
Phone: 6088825700

EVANSVILLE MANOR NURSING AND REHAB, LLC (NPI# 1205311917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205311917
Entity Type Organization
Organization Name EVANSVILLE MANOR NURSING AND REHAB, LLC
Practice Address 470 Garfield Ave
Evansville
WI 53536-1099
Mailing Address 8170 Mccormick Blvd Ste 112
Skokie
IL 60076-2914
Practice Telephone 6088825700
Mailing Telephone 7738253336
Mailing Fax Number 7735704554
Enumeration Date 2018-09-27
Last Update Date 2020-09-16
Authorized Official Name PAMELA RICE (DIRECTOR OF REVENUE)
Authorized Official Telephone 7738253336
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EVANSVILLE MANOR NURSING AND REHAB, LLC 8170 Mccormick Blvd Ste 112, Skokie, IL 60076-2914

Office Location

Street Address 470 GARFIELD AVE
City EVANSVILLE
State WI
Zip Code 53536-1099

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609863794 Evansville Manor, Inc. Skilled Nursing Facility 470 Garfield Ave, Evansville, WI 53536-1014 2005-10-04
1013566306 Nicole Erickson Physical Therapist 470 Garfield Ave, Evansville, WI 53536-1099 2019-09-09
1356852958 Evm Operations LLC Skilled Nursing Facility 470 Garfield Ave, Evansville, WI 53536-1014 2017-10-23
1487172193 Samantha Rae Arnold Occupational Therapist 470 Garfield Ave, Evansville, WI 53536-1014 2017-09-01
1730605247 Karmen Lee Maag Occupational Therapy Assistant 470 Garfield Ave, Evansville, WI 53536-1014 2017-08-16
1700218724 Kim Ellen Kline Physical Therapy Assistant 470 Garfield Ave, Evansville, WI 53536-1014 2013-08-01
1497029995 Kathryn Ann Dauwalter Occupational Therapist 470 Garfield Ave, Evansville, WI 53536-1014 2012-02-29
1366744369 Susan Dooley Conaway Physical Therapy Assistant 470 Garfield Ave, Evansville, WI 53536-1014 2010-11-23
1477722239 Katie Ann Kulis Occupational Therapy Assistant 470 Garfield Ave, Evansville, WI 53536-1014 2008-02-26
1891986964 Gl Healthcare Skilled Nursing Facility 470 Garfield Ave, Evansville, WI 53536-1014 2007-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851817787 Tammy Ann Reed Physical Therapy Assistant 470 Garfield Avenue, Evansville, WI 53536 2017-08-22
1396291522 Quadmed LLC Clinic/Center 101 County Highway M, Evansville, WI 53536 2016-08-28
1821221649 Jeff Richards Chiropractor 825 Brown School Road, Evansville, WI 53536 2009-08-27
1336278522 Emily Peterson Physical Therapist 811 Brown School Road, Evansville, WI 53536 2007-03-05
1295975217 Renee Corinne Kinney Licensed Practical Nurse 237 W Main St, Evansville, WI 53536-1018 2009-03-03
1780081208 Justin George Physical Therapist 341 W Main St, Evansville, WI 53536-1020 2014-11-26
1023079977 Cheryl Ann Runde Registered Nurse 36 Garfield Ave, Evansville, WI 53536-1111 2006-03-30
1861683336 Wilke Chiropractic Office Sc Chiropractor 503 East Main Street, Evansville, WI 53536-1131 2007-08-08
1134289242 Peter J Wilke Chiropractor 503 E Main Street, Evansville, WI 53536-1131 2006-12-11
1649789058 Ross Reinhardt Physical Therapist 503 E Main St, Evansville, WI 53536-1131 2017-09-28
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164878583 Good Samaritan Hospital Skilled Nursing Facility 811 E. Baseline Road, Evansville, IN 47725-9340 2016-05-05
1700137353 Trurehab LLC Skilled Nursing Facility 12251 Highway 41 N, Suite A, Evansville, IN 47725-7014 2012-09-23
1184930737 Good Samaritan Hospital Skilled Nursing Facility 714 S Eickhoff Rd, Evansville, IN 47712-9060 2010-08-20
1053558296 Cfb Healthcare, Inc. Skilled Nursing Facility 909 1st Ave, Evansville, IN 47710-1939 2009-01-09
1811146681 Good Samaritan Hospital Skilled Nursing Facility 1701 Mcdowell Rd, Evansville, IN 47712-5431 2008-09-16
1609057835 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 621 W Columbia St, Evansville, IN 47710 2007-11-15
1932256922 Core of Evansville, Inc. Skilled Nursing Facility 909 N 1st Ave, Evansville, IN 47710-1939 2007-01-04
1376615146 Indiana Health & Rehabilitation Center Skilled Nursing Facility 650 Fairway Dr, Evansville, IN 47710-3306 2006-11-15
1003988700 Indiana Health and Rehabilitation Centers Skilled Nursing Facility 25 S Boehne Camp Rd, Evansville, IN 47712-3101 2006-11-15
1659452449 Americare Living Centers IIi, LLC Skilled Nursing Facility 4301 Washington Ave, Evansville, IN 47714-0678 2006-10-18
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Competitor

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City EVANSVILLE
Zip Code 53536

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Dataset Information

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.

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