North Ridge Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORTH RIDGE HEALTH CARE LLC

Practice address

1445 N 7TH St
Manitowoc, WI 54220-2011

Phone

(920) 682-0314

Fax

(920) 682-0553

NPI assigned

Mar 9, 2014

Organization subpart

No

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

Authorized official

Name

Judah Bienstock

Title

Managing Member

Phone

(314) 631-3000

Specialties & licenses 1

Addresses

Other names 1

• North Ridge Medical and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1394323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1285050765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N 7TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202011",
            "telephone_number": "920-682-0314",
            "fax_number": "920-682-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N 7TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202011",
            "telephone_number": "920-682-0314",
            "fax_number": "920-682-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIDGE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-09",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Ridge Medical and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lisa M Noworatzky, MS, MFT

• Skilled Nursing Facility in Manitowoc, WI
• Providers in Manitowoc, 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 2, 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.