Woodstock Health and Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4694-027 Issued in WI

Legal business name

WOODSTOCK HEALTH AND REHAB

Practice address

3415 Sheridan Rd
Kenosha, WI 53140-1924

Phone

(262) 657-6175

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Dawn Mantsch

Title

Rehab Manager

Phone

(262) 657-6175

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1265761076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401924",
            "telephone_number": "262-657-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK HEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "MANTSCH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "REHAB MANAGER",
        "authorized_official_telephone_number": "262-657-6175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "4694-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wolfe
• Leigh Wolters, RN
• Womens Wellness
• Andrea A Wood, PHARMD
• Brenda Joyce Woodhull, RN,CDE
• Woodstock Health Care LLC
• Carly Worden, NP
• Ashley Heather Worley, SLP
• Sierra N Worob, LCSW
• Worth Counseling

• Skilled Nursing Facility in Kenosha, WI
• Providers in Kenosha, 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 Dec 8, 2009; 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.