DALLAS HEALTHCARE CENTER INC. (NPI# 1396896643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396896643 |
| Entity Type | Organization |
| Organization Name | DALLAS HEALTHCARE CENTER INC. |
| Practice Address |
104 E Dallas St Dallas WI 54733-9699 |
| Mailing Address |
104 E Dallas St P.o. Box 220 Dallas WI 54733-9699 |
| Practice Telephone | 7158371222 |
| Practice Fax Number | 7158371713 |
| Mailing Telephone | 7158371222 |
| Mailing Fax Number | 7158371713 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | LEN F FAST (ADMINISTRATOR) |
| Authorized Official Telephone | 7158371222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3039 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20167500 | 05 |
| Street Address |
104 E DALLAS ST |
| City | DALLAS |
| State | WI |
| Zip Code | 54733-9699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982973558 | Joann Mense | Physical Therapy Assistant | 104 E Dallas St, Dallas, WI 54733-9699 | 2011-12-27 |
| 1154514511 | Senior Management Inc | Skilled Nursing Facility | 104 E Dallas St, Dallas, WI 54733-9699 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780613968 | Joel Stephen Logelin | Chiropractor | 1605 7 1/2 Avenue, Dallas, WI 54733-9457 | 2006-07-01 |
| 1487203576 | Jean Ellen Hose | Technician | 565 16 1/2 St, Hillsdale, WI 54733-9543 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902637 | Allison Kleppe | Dietitian, Registered | 6255 Oram St Apt 106, Dallas, TX 75214-3985 | 2020-11-08 |
| 1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1851992655 | Shaniyah Hawkins | Behavior Technician | 16800 Dallas Pkwy Ste 200, Dallas, TX 75248-1961 | 2020-11-06 |
| 1902407158 | Heidi Katherine Iratcabal | Religious Nonmedical Practitioner | 6484 Lontos Dr, Dallas, TX 75214-6317 | 2020-11-04 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1174124382 | Javarius Terrell Barber | Registered Nurse | 14362 Open Range Dr, Dallas, TX 75253-4953 | 2020-11-04 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
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| 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 |
|---|---|---|---|---|
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1508325275 | Buckner Senior Living, Inc. | Skilled Nursing Facility | One Ventana Way, 8301 N Central Expressway, Dallas, TX 75225 | 2019-03-13 |
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1740710094 | Adora 9 Operations, LLC | Skilled Nursing Facility | 8130 Meadow Road, Dallas, TX 75231 | 2017-06-19 |
| 1962891523 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 3505 S Buckner Blvd Bldg 5, Dallas, TX 75227-5451 | 2015-01-20 |
| 1346678398 | The Rehabilitation & Wellness Centre of Dallas, LLC | Skilled Nursing Facility | 4200 Live Oak St, Dallas, TX 75204-6733 | 2013-10-29 |
| 1639428972 | Riverwood Healthcare LLC | Skilled Nursing Facility | 9009 Forest Lane, Dallas, TX 75243 | 2012-08-31 |
| 1013265446 | Remarkable Healthcare of Dallas, Lp | Skilled Nursing Facility | 3350 Bonnie View Road, Dallas, TX 75216 | 2012-08-15 |
| 1558620633 | Highland Springs, Inc | Skilled Nursing Facility | 7910 Frankford Rd, Attn: Extended Care Administrator, Dallas, TX 75252-6865 | 2012-05-10 |
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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.