NPIMap

Organization Active NPI

Kindred Transitional Care Rehabilitation Colonial

  • Skilled Nursing Facility
  • Wausau, WI
National Provider Identifier
1205113982
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5060-026 Issued in WI
Legal business name
KINDRED TRANSITIONAL CARE REHABILITATION COLONIAL
Practice address
1010 E Wausau Ave
Wausau, WI 54403-3101
Phone
(715) 842-2028
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Jamie L Borchardt
Title
Occupational Therapist
Phone
(715) 573-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5060-026 WI Primary

Addresses

Primary practice location

1010 E Wausau Ave
Wausau, WI 54403-3101

Mailing address

1010 E Wausau Ave
Wausau, WI 54403-3101
Phone (715) 842-2028

Other identifiers 1

IdentifierTypeStateIssuer
525405OtherWIMEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Kindred Transitional Care Rehabilitation Colonial5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1205113982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E WAUSAU AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033101",
            "telephone_number": "715-842-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E WAUSAU AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033101",
            "telephone_number": "715-842-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED TRANSITIONAL CARE REHABILITATION COLONIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "BORCHARDT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "715-573-2884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "5060-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "525405",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.