BIRCH HAVEN SENIOR LIVING, INC. (NPI# 1700164233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700164233 |
| Entity Type | Organization |
| Organization Name | BIRCH HAVEN SENIOR LIVING, INC. |
| Practice Address |
1019 15th Ave W Ashland WI 54806-2772 |
| Practice Telephone | 7152926363 |
| Practice Fax Number | 7152926364 |
| Mailing Telephone | 7152926363 |
| Mailing Fax Number | 7152926364 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | MR. JAMES BIRCHEM (PRESIDENT) |
| Authorized Official Telephone | 3206314100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
0013776 | WI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720375033 | Birch Haven Senior Living, Inc. | Assisted Living Facility | 218 22nd Ave W, Ashland, WI 54806-1021 | 2011-07-07 |
| Street Address |
1019 15TH AVE W |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-2772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134593858 | Residence At Valley Farm | Assisted Living Facility | 369 Pond St, Ashland, MA 01721-2327 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747518 | Rasha Iman Moore | Assisted Living Facility | 6112 N 37th St, Milwaukee, WI 53209-3611 | 2020-10-11 |
| 1902421308 | Limitless Possibilities LLC | Assisted Living Facility | 302 S Bluemound Dr, Appleton, WI 54914-3922 | 2020-06-11 |
| 1083077713 | A Nurturing Home Away From Home Inc. | Assisted Living Facility | 8225 N 107th St, Milwaukee, WI 53224-2517 | 2016-03-31 |
| 1558668905 | Willow Winds Living, LLC | Assisted Living Facility | N372 Twinkling Star Rd, Whitewater, WI 53190-2827 | 2011-02-22 |
| 1154567014 | Beyond Abilities LLC | Assisted Living Facility | 2839 E Frontage Rd, Abrams, WI 54101-9591 | 2008-12-24 |
| 1407037856 | Abundant Life Ministry | Assisted Living Facility | 1904 E Belleview Pl, Milwaukee, WI 53211-3901 | 2007-11-14 |
| 1568438265 | M.a.t.c.h. | Assisted Living Facility | 2902 N 1st St, Milwaukee, WI 53212-2406 | 2006-02-23 |
| 1386149052 | Ans Creative Behavioral Services II | Assisted Living Facility | 1551 S 108th St, Milwaukee, WI 53214-4020 | 2018-03-26 |
| 1386192524 | Trinity Health Management | Assisted Living Facility | 5555 Burke Rd, Madison, WI 53718-6301 | 2016-09-16 |
| 1497119564 | Ans Creative Behavioral Solutions, LLC | Assisted Living Facility | 1551 S 108th St, West Allis, WI 53214-4020 | 2016-04-05 |
| 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.