Healthcare Provider Details

I. General information

NPI: 1063418747
Provider Name (Legal Business Name): NURSING HOMES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 12/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 SYCAMORE ST
SAUK CITY WI
53583-1013
US

IV. Provider business mailing address

245 SYCAMORE ST
SAUK CITY WI
53583-1013
US

V. Phone/Fax

Practice location:
  • Phone: 608-643-3383
  • Fax: 608-643-2629
Mailing address:
  • Phone: 608-643-3383
  • Fax: 608-643-2629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2249
License Number StateWI

VIII. Authorized Official

Name: JACKIE R NACHREINER
Title or Position: OFFICE MANAGER
Credential:
Phone: 608-643-3383