DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EASTSIDE OPERATING COMPANY LLC

MEDICARE: EASTSIDE OPERATING COMPANY 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 : 1538497060
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTSIDE OPERATING COMPANY LLC
Provider Business Mailing Address
First Line : 1423 CLARKVIEW RD
Second Line : SUITE 500
City : BALTIMORE
State : MD
Zip : 21209-2134
Country : US
Telephone Number : 410-427-2700
Fax Number : 414-815-5558
Provider Business Practice Location Address
First Line : 2115 E WOODSTOCK PL
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-1342
Country : US
Telephone Number : 410-342-3155
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. BRIAN K. REYNOLDS
Credential :
Telephone Number : 410-513-8738
Provider Enumeration Date : 11/20/2009
Last Update Date : 06/10/2015

Similar Medicare Providers

1215092184 — DELPHI HEALTHCARE LLC
Practice Location Address:
2115 E WOODSTOCK PL
MILWAUKEE, WI
53202-1342
Practice Phone: 414-271-1020
Practice Fax: 414-271-2762
1124294293 — ERICA ANN NORMAN M.S., CF-SLP
Practice Location Address:
2115 E WOODSTOCK PL
MILWAUKEE, WI
53202-1342
Practice Phone: 414-271-1020
Practice Fax:
1548590177 — TIMOTHY R FOX OTR
Practice Location Address:
2115 E WOODSTOCK PL
MILWAUKEE, WI
53202-1342
Practice Phone: 414-271-1020
Practice Fax:
1629308812 — MRS. DONNA LOU WILLIAMS P.T.
Practice Location Address:
2115 E WOODSTOCK PL
MILWAUKEE, WI
53202-1342
Practice Phone: 414-271-1020
Practice Fax:
1356663520 — KERI MCKEOUGH MS CCC-SLP
Practice Location Address:
2115 E WOODSTOCK PL
MILWAUKEE, WI
53202-1342
Practice Phone: 414-271-1020
Practice Fax:
1417263948 — ARTI BERRY OTR
Practice Location Address:
2115 E WOODSTOCK PL
MILWAUKEE, WI
53202-1342
Practice Phone: 414-271-1020
Practice Fax:

Directions to “EASTSIDE OPERATING COMPANY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.