METHODIST MANOR INC. NPI 1972571628

NPI Information

  • NPI: 1972571628
  • Provider Name: METHODIST MANOR, INC.
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Doing Business As: PALMER CENTER
  • Address: 3023 S 84TH ST
    WEST ALLIS, WI
    ZIP 53227
  • Phone: (414) 607-4100

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NPI Details

METHODIST MANOR, INC. is a nursing facility intermediate care facility in West Allis, WI. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. METHODIST MANOR, INC. NPI is 1972571628. The provider is registered as an organization entity type.
The provider Is Doing Business As Palmer Center.

The provider's business location address is:

3023 S 84TH ST
WEST ALLIS, WI
ZIP 53227-703
Phone: (414) 607-4100
Fax: (414) 607-4502

The provider's authorized official is James Enlund .
The authorized official title is President & Ceo and has the following contact phone number (414) 607-4100.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 4/8/2009.

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
1281P00000XChronic Disease Hospital2300WISCONSINNo
2314000000XSkilled Nursing Facility2300WISCONSINNo
3313M00000XNursing Facility/Intermediate Care Facility2300WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERWISCONSINTAX ID#
252A450MEDICARE ID-TYPE UNSPECIFIEDWISCONSINMEDICARE/FEDERAL ID#
320008100MEDICAIDWISCONSIN
42300OTHERWISCONSINFACILITY LICENSE NUMBER

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: 3/30/2025

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