NPIMap

Organization Active NPI

Barron Healthcare Center Inc.

  • Skilled Nursing Facility
  • Barron, WI
National Provider Identifier
1154320802
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3038 Issued in WI
Legal business name
BARRON HEALTHCARE CENTER INC.
Practice address
660 E Birch Ave
Barron, WI 54812-9130
Phone
(715) 537-5643
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Mr. Grant D. Thayer
Title
President
Phone
(715) 837-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3038 WI Primary

Addresses

Primary practice location

660 E Birch Ave
Barron, WI 54812-9130

Mailing address

660 E Birch Ave
Barron, WI 54812-9130
Phone (715) 537-5643

Other identifiers 1

IdentifierTypeStateIssuer
20167400MedicaidWI

Other names 1

  • Barron Riverside Manor Other name

National Provider Directory

National Provider Directory
Tax ID family
Senior Management Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1154320802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 E BIRCH AVE",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "548129130",
            "telephone_number": "715-537-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 E BIRCH AVE",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "548129130",
            "telephone_number": "715-537-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRON HEALTHCARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-837-1222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20167400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barron Riverside Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barron, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.