SHAWANO COMMUNITY HOSPICE (NPI# 1548248313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548248313 |
| Entity Type | Organization |
| Organization Name | SHAWANO COMMUNITY HOSPICE |
| Practice Address |
309 N Bartlette St Shawano WI 54166-2199 |
| Practice Telephone | 7155242169 |
| Practice Fax Number | 7155267140 |
| Mailing Telephone | 7155242169 |
| Mailing Fax Number | 7155267140 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. VINCENT D STUDER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7155262111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 510 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43184400 | 05 |
| Street Address |
309 N BARTLETTE ST |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134499 | Rainbow Hospice Care, Inc. | Hospice, Inpatient | 147 W Rockwell St, Jefferson, WI 53549-2048 | 2006-02-22 |
| 1891889911 | Aspirus Wausau Hospital, Inc | Hospice, Inpatient | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2006-10-03 |
| 1861503534 | Agrace Hospicecare, Incorporated | Hospice, Inpatient | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2006-08-31 |
| 1194797910 | Unity Limited Partnership | Hospice, Inpatient | 2366 Oak Ridge Cir, De Pere, WI 54115-9207 | 2006-02-06 |
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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.