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Contact Information

CROWN POINT VILLAGE, LLC
881 LIBERTY BOULEVARD
SUN PRAIRIE, WI53590
 Phone: 608-834-2073
 Fax: 608-834-2089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for CROWN POINT VILLAGE, LLC

NPI Number 1043462021
LBN Legal business name CROWN POINT VILLAGE, LLC
Authorized official ROBERT SIMONSON - (EXECUTIVE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2008
Last updated 10/21/2008 - About 18 years ago
Identifiers
WI License # 12519
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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