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Contact Information

BAY AREA LUTHERAN HOMES INC
1040 PILGRIM WAY
GREEN BAY, WI54304
 Phone: 920-499-1481
 Fax: 920-499-1501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for BAY AREA LUTHERAN HOMES INC

NPI # 1780756890
LBN Legal business name BAY AREA LUTHERAN HOMES INC
Authorized official POLLY GRETZINGER - (EXECUTIVE DIRECTOR, CAMPUS OPERATIO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2006
Last updated 10/13/2023 - About 3 years ago
Identifiers
WI License # 2177
WI Medicaid 20150200
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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