SSC Ashland Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3204 Issued in WI

Legal business name

SSC ASHLAND OPERATING COMPANY LLC

Doing business as

Ashland Health and Rehabilitation Center

Practice address

1319 Beaser Ave
Ashland, WI 54806-3614

Phone

(715) 682-3468

NPI assigned

Apr 3, 2007

Last updated

Jul 31, 2013By 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

Thomas P. Simons

Title

Senior VP Operations Finance

Phone

(770) 829-5100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ashland Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1245351667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 BEASER AVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063614",
            "telephone_number": "715-682-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC ASHLAND OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SENIOR VP OPERATIONS FINANCE",
        "authorized_official_telephone_number": "770-829-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS MEDICAID NUMBER",
            "identifier": "20172500WI",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20194600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Kristen Sorensen, MS, LPC
• South Shore Orthopedics
• Laurie Renee Spangle-Bauer, OTR
• Randall P. Spangle, CSAC, ICS
• Alison Spaude-Filipczak, CAPSW
• St. Luke's Hospital of Duluth (Aspirus St Lukes Ashland Clinic)
• St. Luke's Hospital of Duluth (Aspirus St Luke's Hospital Therapies)
• Ashley Maree Stantz, MD
• Haley Stellmacher, APRN, CNP
• Janet Lee Sternat, PT

• Skilled Nursing Facility in Ashland, WI
• Providers in Ashland, 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 31, 2013; 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.