Strawberry Lane Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

STRAWBERRY LANE MANAGEMENT LLC

Practice address

130 Strawberry LN
Wisconsin Rapids, WI 54494-2156

Phone

(715) 424-1600

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Gerald Stoll

Title

Manager

Phone

(917) 836-0436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1285093344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BROADWAY",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STRAWBERRY LN",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544942156",
            "telephone_number": "715-424-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAWBERRY LANE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-836-0436"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Stoiber, DC
• Mozelle L Stoiber, D.C.
• Patrick G Stoiber, D.C.
• M. Jean Stolzenburg, OT
• Kathleen I Stoner, MSSW
• Strawberry Lane Nursing and Rehab, LLC
• Jonathan Thomas Streckert, COTA
• Beth Louise Sullivan, MS
• Rebecca J Super, D.C.
• Thomas Michael Surendonk, MSSW

• Skilled Nursing Facility in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, 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 Feb 17, 2016; 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.