Organization Active NPI

Fox Valley Transitional Care LLC

Doing business as Recovery Inn

  • Skilled Nursing Facility
  • Appleton, WI
National Provider Identifier
1285012872
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FOX VALLEY TRANSITIONAL CARE LLC
Doing business as
Recovery Inn
Practice address
2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone
(920) 766-6020
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Brian J. Ramos
Title
Authorized Official
Phone
(801) 601-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2105 E Enterprise Ave
Appleton, WI 54913-7862

Mailing address

2231 Murray Holladay Blvd
Suite 200
Salt Lake City, UT 84117-6997
Phone (801) 601-1450

Other names 1

  • Recovery Inn Doing business as

National Provider Directory

National Provider Directory

Locations

2231 E Murray Holladay Rd
Ste 200
Salt Lake City, UT 84117

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1285012872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 MURRAY HOLLADAY BLVD",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176997",
            "telephone_number": "801-601-1450",
            "fax_number": "801-996-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-766-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY TRANSITIONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "801-601-1450"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.