Ladysmith Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LADYSMITH NURSING HOME INC

Practice address

1001 E 11TH St N
Ladysmith, WI 54848-1455

Phone

(715) 532-5546

NPI assigned

Jul 12, 2005

Last updated

Jan 30, 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

Michael W Kelley

Title

Administrator/Owner

Phone

(715) 532-5546

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1285632331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 11TH ST N",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481455",
            "telephone_number": "715-532-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 11TH ST N",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481455",
            "telephone_number": "715-532-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADYSMITH NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "715-532-5546"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20169200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Krell, RDH
• Carol Krupa, PA
• Ladysmith Adult Day Services
• Ladysmith Foods Inc. (Flambeau Phamacy)
• Ladysmith Living Center, Inc
• Ladysmith-Hawkins School District
• Karen Marie Lane
• Anette M Ludvigsen, PTA
• Sara L. Luke, DDS
• Brenda Lee Maier, RN

• Skilled Nursing Facility in Ladysmith, WI
• Providers in Ladysmith, 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 Jan 30, 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.