Manitowoc Health & Rehabilitation Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

20200900 Issued in WI

Legal business name

MANITOWOC HEALTH & REHABILITATION CENTER

Practice address

2021 S Alverno Rd
Manitowoc, WI 54220-9208

Phone

(920) 683-4100

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Ben Prince

Title

Administrator

Phone

(920) 683-4100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1235474792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S ALVERNO RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542209208",
            "telephone_number": "920-683-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S ALVERNO RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542209208",
            "telephone_number": "920-683-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOWOC HEALTH & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-683-4100"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "20200900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261752627",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manitowoc Co Human Services Dept
• Manitowoc Co Human Services Dept.
• Manitowoc County Courthouse Comptrollers Office
• Manitowoc County Health Department
• Manitowoc County Human Services Dept.
• Manitowoc Health Care Center LLC
• Manitowoc Homecare
• Manitowoc Pharmacies Inc
• Manitowoc Pharmacies Inc
• Manitowoc Public School District

• Nursing Facility/Intermediate Care Facility in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Nursing Facility/Intermediate Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.