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WISCONSIN MEDICAID NPI 1538353982


NPI Information

NPI: 1538353982
Provider Name: WISCONSIN MEDICAID
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
1528 REMINGTON RD
NEENAH, WI
ZIP 54956
Phone: (920) 729-9887
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WISCONSIN MEDICAID is a nursing care and pediatric skilled nursing facility in Neenah, WI. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. WISCONSIN MEDICAID NPI is 1538353982. The provider is registered as an organization entity type.

The provider's business location address is:

1528 REMINGTON RD
NEENAH, WI
ZIP 54956-696
Phone: (920) 729-9887

The provider's authorized official is Wendy Lei Sellier .
The authorized official title is Rn and has the following contact phone number (920) 727-0441.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricWISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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