Wisconsin Illinois Senior Housing Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WISCONSIN ILLINOIS SENIOR HOUSING INC.

Practice address

510 1St St
Spooner, WI 54801-1241

Phone

(715) 635-1412

Fax

(715) 635-7498

NPI assigned

Mar 12, 2015

Last updated

May 13, 2020By 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

Mrs. Stephanie Sherman, MA, NHA

Title

Coo

Phone

(303) 980-0611

Specialties & licenses 1

Addresses

Other names 1

• Maple Ridge Care Center Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wisconsin Illinois Senior Housing Inc.

  • Skilled Nursing Facility
  • East Troy, WI
  • NPI 1043463961

  Member Of

  NPD member

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1265825483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 1ST ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011241",
            "telephone_number": "715-635-1412",
            "fax_number": "715-635-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 1ST ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011241",
            "telephone_number": "715-635-1412",
            "fax_number": "715-635-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN ILLINOIS SENIOR HOUSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-980-0611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Ridge Care Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Maple Ridge Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Washburn County Health and Human Services Department
• Washburn County Health and Human Services Department
• Washburn County Health and Human Services Department
• Haley Welsch
• Whole Life Services LLC
• Amber L Wood, COTA
• Kira Yanko, MA
• Barbara Jo Zurn, P.T.

• Skilled Nursing Facility in Spooner, WI
• Providers in Spooner, 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 May 13, 2020; 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.