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Contact Information

METHODIST MANOR HEALTH CENTER INC
8615 W BELOIT RD
WEST ALLIS, WI53227-3711
 Phone: 414-607-4100
 Fax: 414-607-4502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for METHODIST MANOR HEALTH CENTER INC

NPI # 1134196983
LBN Legal business name METHODIST MANOR HEALTH CENTER INC
Authorized official JAMES ENL/UND - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2006
Last updated 04/08/2009 - About 17 years ago
Identifiers
WI License # 2153
WI Medicaid 2013000
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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