Superior Wi Management, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUPERIOR WI MANAGEMENT, LLC

Doing business as

Superior Nursing and Rehabilitation Center

Practice address

1800 New York Ave
Superior, WI 54880-2008

Phone

(715) 394-5591

NPI assigned

Jul 2, 2015

Last updated

Jul 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Lankry

Title

Member

Phone

(845) 490-6060

Specialties & licenses 1

Addresses

Other names 1

• Superior Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1053794446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 NEW HEMPSTEAD RD",
            "address_2": "SUITE 309",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NEW YORK AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802008",
            "telephone_number": "715-394-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR WI MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "LANKRY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-490-6060"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Superior Pain Management SC
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• Superior Rehabilitation Center LLC
• Superior School District
• Superior Treatment Center, Inc
• Kristine M Swan, MFT-IT
• John Michael Swanson, MA CCC/SLP
• Lauren Swanson
• David X Swenson, PHD, LP
• Target Corporation (Target Pharmacy)

• Skilled Nursing Facility in Superior, WI
• Providers in Superior, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.