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NPI Code Detail

MEDICARE: CROSSROADS CARE CENTER OF SUN PRAIRIE LLC

MEDICARE: CROSSROADS CARE CENTER OF SUN PRAIRIE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1063925634
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSROADS CARE CENTER OF SUN PRAIRIE LLC
Provider Business Mailing Address
First Line : 5454 FARGO AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60077-3210
Country : US
Telephone Number : 847-983-4860
Fax Number :
Provider Business Practice Location Address
First Line : 41 RICKEL RD
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-1840
Country : US
Telephone Number : 608-837-8529
Fax Number :
Authorized Official
Title or Position : CFO
Name : DAVID MERZEL
Credential :
Telephone Number : 847-983-4860
Provider Enumeration Date : 11/06/2017
Last Update Date : 02/09/2026

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Directions to “CROSSROADS CARE CENTER OF SUN PRAIRIE LLC ” Practice Location

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