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NPI Code Detail

MEDICARE: JEWISH HOME AND CARE CENTER, INC

MEDICARE: JEWISH HOME AND CARE CENTER, INC
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 Facility2159WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477620516
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH HOME AND CARE CENTER, INC
Provider Business Mailing Address
First Line : 1414 N PROSPECT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-3018
Country : US
Telephone Number : 414-276-2627
Fax Number : 262-478-0355
Provider Business Practice Location Address
First Line : 1414 N PROSPECT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-3018
Country : US
Telephone Number : 414-276-2627
Fax Number : 414-431-1940
Authorized Official
Title or Position : PRESIDENT
Name : MR. MICHAEL SILVERMAN
Credential :
Telephone Number : 414-277-8800
Provider Enumeration Date : 11/30/2006
Last Update Date : 06/16/2023

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