Sky View Nursing Center LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

2632 Issued in WI

Legal business name

SKY VIEW NURSING CENTER LLC

Practice address

309 Iron St
Hurley, WI 54534-1356

Phone

(715) 561-5646

Fax

(715) 561-5448

NPI assigned

Sep 26, 2005

Last updated

Aug 22, 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

Mr. John Kutz

Title

Administrator

Phone

(715) 561-3200

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306832365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLA DR",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341523",
            "telephone_number": "715-561-3200",
            "fax_number": "715-561-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 IRON ST",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341356",
            "telephone_number": "715-561-5646",
            "fax_number": "715-561-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY VIEW NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-561-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "2632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20190800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4528320",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Olkonen, MA-CCC-SLP
• Erik N Overby, B.S. PHARM
• Valerie Marie Rajala
• Roberta Ross, RDH
• Lea Ann Schroeter, MD
• Lauren Snyder
• Sandra Lee Stella, R.N.
• The Lakes Community Health Center, Inc (NorthLakes Community Clinic - Hurley)
• Villa Maria Health and Rehabilitation Center, LLC (Villa Maria Health and Rehabilitation Center)
• White Cross Pharmacy Inc (White Cross Pharmacy)

• Nursing Facility/Intermediate Care Facility in Hurley, WI
• Providers in Hurley, WI by specialty
• Nursing Facility/Intermediate Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.