Organization Active NPI

Chippewa Falls Assisted Living LLC

Doing business as Dove Healthcare - Rutledge Home Assisted Living

  • Skilled Nursing Facility
  • Chippewa Falls, WI
National Provider Identifier
1033983754
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHIPPEWA FALLS ASSISTED LIVING LLC
Doing business as
Dove Healthcare - Rutledge Home Assisted Living
Practice address
300 Bridgewater Ave
Chippewa Falls, WI 54729-1149
Phone
(608) 448-6200
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Isaak Markovits
Title
Managing Member
Phone
(608) 448-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

300 Bridgewater Ave
Chippewa Falls, WI 54729-1149

Mailing address

1632 61St St
Brooklyn, NY 11204-2109
Phone (608) 448-6200

Other names 1

  • Dove Healthcare - Rutledge Home Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1033983754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 61ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042109",
            "telephone_number": "608-448-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRIDGEWATER AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291149",
            "telephone_number": "608-448-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA FALLS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "MARKOVITS",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "608-448-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Healthcare - Rutledge Home Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.