FOX VALLEY TRANSITIONAL CARE LLC (NPI# 1285012872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285012872 |
Entity Type | Organization |
Organization Name | FOX VALLEY TRANSITIONAL CARE LLC |
Other Organization Name | RECOVERY INN |
Practice Address |
2105 E Enterprise Ave Appleton WI 54913-7862 |
Mailing Address |
2231 Murray Holladay Blvd Suite 200 Salt Lake City UT 84117-6997 |
Practice Telephone | 9207666020 |
Mailing Telephone | 8016011450 |
Mailing Fax Number | 8019963601 |
Enumeration Date | 2015-05-14 |
Last Update Date | 2015-06-29 |
Authorized Official Name | BRIAN J. RAMOS (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 8016011450 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Recovery Inn | Doing Business As Name - Organization |
Street Address |
2105 E ENTERPRISE AVE |
City | APPLETON |
State | WI |
Zip Code | 54913-7862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174504922 | Margaret Mary Hau | Occupational Therapist | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2005-11-09 |
1689024812 | Andrew Verhoeven | Physical Therapist | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2016-06-19 |
1831547397 | Innovation Alliance Ipa LLC | Preferred Provider Organization | 2105 E Enterprise Ave, Suite 101, Appleton, WI 54913-7862 | 2016-05-25 |
1679948566 | Padraic Obma, M.d., S.c. | Specialist | 2105 E Enterprise Ave, Suite 112, Appleton, WI 54913-7862 | 2015-12-03 |
1639550569 | Theodore Donald Kurlinkus | Physical Therapist | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2015-06-16 |
1801287305 | Megan Lee | Specialist/Technologist | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2015-02-05 |
1295132496 | Fox Valley Orthopaedic Surgeon's Association, Inc | Orthopaedic Surgery | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2014-12-03 |
1912344417 | William Harold Hartmann | Physical Therapist | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913 | 2013-05-24 |
1992049175 | Tyler L Vanderzanden | Physical Therapist | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 | 2012-11-12 |
1144570870 | Kenneth L. Schaufelberger, M.d., S.c. | Specialist | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2012-09-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
Find all providers in zip 54913 |
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 |
---|---|---|---|---|
1376903161 | 725 Knapp St Operating Company, LLC | Skilled Nursing Facility | 1726 N Ballard Rd, Appleton, WI 54911-2444 | 2016-03-07 |
1770530990 | Franciscan Care and Rehabilitation Center, Inc. | Skilled Nursing Facility | 2915 N Meade St, Appleton, WI 54911-1509 | 2006-05-31 |
1679529077 | Manorcare Health Services LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2006-05-26 |
1639167430 | County of Outagamie | Skilled Nursing Facility | 3300 W Brewster St, Appleton, WI 54914 | 2005-10-06 |
1386642874 | Tdr, Inc. | Skilled Nursing Facility | 325 E Florida Ave, Appleton, WI 54911-1325 | 2005-07-08 |
1275130403 | Appleton Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-10-01 |
1194355909 | Edenbrook On Meade Nursing and Rehab LLC | Skilled Nursing Facility | 2915 N Meade St, Appleton, WI 54911-1509 | 2020-01-21 |
1710517529 | Edenbrook On Oneida Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-01-21 |
1851749576 | Rennes Rehabilitation | Skilled Nursing Facility | 325 E Florida Ave, Appleton, WI 54911-1325 | 2016-06-03 |
1639535099 | 601 Briarcliff Drive Operating Company, LLC | Skilled Nursing Facility | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2016-01-14 |
Find all providers in APPLETON |
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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.