KENNETH J & MARILYN M SECOR (NPI# 1578754511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578754511 |
| Entity Type | Organization |
| Organization Name | KENNETH J & MARILYN M SECOR |
| Other Organization Name | LINDEN MANOR |
| Practice Address |
1204 Fourth St Kewaunee WI 54216 |
| Practice Telephone | 9203880110 |
| Practice Fax Number | 9203882202 |
| Mailing Telephone | 9203880110 |
| Mailing Fax Number | 9203882202 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Authorized Official Name | MR. KENNETH J SECOR (OWNER) |
| Authorized Official Telephone | 9203880110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 410404 | WI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Linden Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592065 | Kenneth J & Marilyn M Secor | Assisted Living Facility | 1310 Lincoln St, Kewaunee, WI 54216-1606 | 2007-08-05 |
| Street Address |
1204 FOURTH ST |
| City | KEWAUNEE |
| State | WI |
| Zip Code | 54216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436284 | Rebecca M Kasten | Massage Therapist | 224 Ellis St., Kewaunee, WI 54216 | 2017-09-21 |
| 1780932772 | Tricia Lynn Keister | Registered Nurse | N6028 County Road D, Kewaunee, WI 54216 | 2012-08-22 |
| 1295988061 | Carol Jean Mueller | Licensed Practical Nurse | N 1199 Hwy 42, Kewaunee, WI 54216 | 2008-10-24 |
| 1073548046 | Aurora Pharmacy Inc | Pharmacy | 931 Marquette Dr, Kewaunee, WI 54216 | 2006-07-11 |
| 1376572529 | Richard James Seifert | Social Worker | 810 Lincoln St, Kewaunee, WI 54216 | 2006-07-01 |
| 1639141955 | Marcus Arnold Steele | Chiropractor | 1218 Ellis Street, Steele Chiropractic Clinic, Kewaunee, WI 54216 | 2006-02-02 |
| 1447773783 | Marie G Smith | Dietitian, Registered | 575 4th St, Kewaunee, WI 54216 | 2017-07-19 |
| 1952429300 | Lori M Nellis | Social Worker | 810 Lincoln Street, Kewaunee, WI 54216 | 2007-03-26 |
| 1447395389 | Anthony Michael Sachse | Physical Therapist | 575 4th St, Kewaunee, WI 54216 | 2007-02-20 |
| 1073663704 | Lakeshore Vision Centers Ltd | Clinic/Center | 1217 Ellis St, Kewaunee, WI 54216 | 2007-01-12 |
| Find all providers in zip 54216 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592065 | Kenneth J & Marilyn M Secor | Assisted Living Facility | 1310 Lincoln St, Kewaunee, WI 54216-1606 | 2007-08-05 |
| 1760522379 | Emerald Shores Assisted Living, LLC | Assisted Living Facility | 1100 Baumeister Dr, Kewaunee, WI 54216-1646 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654534 | Praitie Assisted Living Inc. | Assisted Living Facility | 749 E Oshkosh St, Ripon, WI 54971-1258 | 2020-09-22 |
| 1295340016 | St. Elizabeth Manor, Inc. | Assisted Living Facility | 111 Commercial Dr, Footville, WI 53537 | 2020-09-09 |
| 1730793001 | Zinzendorf Hall, Inc. | Assisted Living Facility | 1047 Hill St, Watertown, WI 53098-3015 | 2020-09-03 |
| 1184236044 | Francine Carter | Assisted Living Facility | 4341 N 19th St, Milwaukee, WI 53209-6831 | 2020-08-20 |
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1003427766 | Nohc Magnolia Meadows LLC | Assisted Living Facility | 1480 N 7th St, Manitowoc, WI 54220-2012 | 2020-08-14 |
| 1922616580 | Rheuvonia Reed | Assisted Living Facility | 543 E Arbor Cir, Oak Creek, WI 53154-8528 | 2020-07-20 |
| 1912515073 | Baldwin Coh, LLC | Assisted Living Facility | 1880 4th Ave, Baldwin, WI 54002-5134 | 2020-07-15 |
| 1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
| 1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
| 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.