Ecumen

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2329 Issued in WI

Legal business name

ECUMEN

Practice address

301 River St
Osceola, WI 54020-3024

Phone

(715) 294-5642

Fax

(715) 294-5785

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Wiser Eastman, MS

Title

Licensed Nursing Home Administrator

Phone

(715) 294-5642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LO Simenstad Nursing Care Unit Doing business as

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073568119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RIVER ST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540203024",
            "telephone_number": "715-294-5642",
            "fax_number": "715-294-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVER ST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540203024",
            "telephone_number": "715-294-5642",
            "fax_number": "715-294-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECUMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "WISER",
        "authorized_official_title_or_position": "LICENSED NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "715-294-5642",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20195600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LO Simenstad Nursing Care Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Scott Dexter, MS MFT
• Kimberly Ann Donaldson, MSN, PMHNP-BC, APNP
• Douglas E Nykanen
• Amanda Louise Downing, MA, LMFT
• Downtown Dental, S.C.
• Ecumen
• Edling Chiropractic and Rehabilitation P.a.
• Steven John Edling, D.C., C.S.S.P.
• Tamara Ann Erickson, PT
• Jean Faye Evans-Williams, MSW

• Skilled Nursing Facility in Osceola, WI
• Providers in Osceola, 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 Aug 22, 2020; 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.