JUDITH C. MANN RN INDEPENDENT NURSE LLC (NPI# 1215906706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215906706 |
Entity Type | Organization |
Organization Name | JUDITH C. MANN RN INDEPENDENT NURSE LLC |
Practice Address |
W987 Hall Rd Columbus WI 53925-9509 |
Practice Telephone | 9206233449 |
Practice Fax Number | 9206233742 |
Mailing Telephone | 9206233449 |
Mailing Fax Number | 9206233742 |
Enumeration Date | 2006-03-16 |
Last Update Date | 2008-07-08 |
Authorized Official Name | MRS. JUDITH C. MANN (RN) |
Authorized Official Telephone | 9206233449 |
Authorized Official Credential | RN BSN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 78528-030 | WI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | PROVIDER # MEDICAID | 40002800 | 01 |
Street Address |
W987 HALL RD |
City | COLUMBUS |
State | WI |
Zip Code | 53925-9509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275833659 | Beaver Dam Community Hosptials, Inc. | Family Medicine | 1580 W James St, Columbus, WI 53925 | 2010-11-01 |
1497972749 | Droessler Chiropractic Sc | Chiropractor | 1349 Park Avenue, Columbus, WI 53925 | 2007-04-19 |
1164487328 | Drs Beck & Becker Sc | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-04-19 |
1245864735 | Margaret Mary Frank | Pharmacist | 1500 W James St, Columbus, WI 53925 | 2020-02-24 |
1487094686 | Tiana M Imhoff | Physician Assistant | 1515 Park Ave, Columbus, WI 53925 | 2013-07-02 |
1821343401 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 200 Commerce Dr, Columbus, WI 53925 | 2012-07-19 |
1689987372 | Erin Renee Hills | Nurse Practitioner | 1515 Park Ave, Columbus, WI 53925 | 2010-07-22 |
1184723645 | James Michael Beck | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
1194824649 | William James Becker | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
1225004245 | Nazi S Khan | Internal Medicine | 1511 Park Ave, Columbus, WI 53925 | 2006-02-28 |
Find all providers in zip 53925 |
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. |
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1881093458 | Methodist Eldercare Physician Services Inc. | Nursing Facility/Intermediate Care Facility | 155 Fenway Rd, Columbus, OH 43214-1407 | 2014-08-19 |
1770641383 | Stillwater Hospital Association, Inc. | Nursing Facility/Intermediate Care Facility | 44 W 4th Ave N, Columbus, MT 59019-0959 | 2006-12-05 |
1952343386 | Acts Retirement-life Communities Inc | Nursing Facility/Intermediate Care Facility | 617 Laurel Lake Dr, Columbus, NC 28722-7401 | 2006-06-11 |
1538150362 | Longterm Lodging Inc | Nursing Facility/Intermediate Care Facility | 740 Canonby Pl, Columbus, OH 43223-2302 | 2005-11-01 |
1548269160 | New Albany Care Center Limited | Nursing Facility/Intermediate Care Facility | 5691 Thompson Rd, Columbus, OH 43230-1345 | 2005-07-15 |
1134128846 | Whetstone Care Center, LLC | Nursing Facility/Intermediate Care Facility | 3710 Olentangy River Rd, Columbus, OH 43214-3450 | 2005-07-15 |
1942229091 | Sigma Medical | Nursing Facility/Intermediate Care Facility | 3933 Groves Rd, Columbus, OH 43232-4138 | 2006-07-19 |
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 |
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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.