GREAT LAKES HEALTHCARE, INC.; NPI #1619532132

Contact Information

GREAT LAKES HEALTHCARE, INC.

W175N11117 STONEWOOD DR STE 100
GERMANTOWN, WI 53022

Phone: 262-293-3951
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for GREAT LAKES HEALTHCARE, INC.

NPI #	`1619532132`
LBN Legal business name	GREAT LAKES HEALTHCARE, INC.
Authorized official	LEE JOHNSON - (TREASURER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/09/2019
Last updated	08/11/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GREAT LAKES HEALTHCARE, INC.

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for GREAT LAKES HEALTHCARE, INC.

Reviews for GREAT LAKES HEALTHCARE, INC.