Organization Active NPI

Gray's Nursing Home, Inc

  • Skilled Nursing Facility
  • Platteville, WI
National Provider Identifier
1336193374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2729 Issued in WI
Legal business name
GRAY'S NURSING HOME, INC
Practice address
555 N Chestnut St
Platteville, WI 53818-2105
Phone
(608) 349-6741
Fax
(608) 349-6005
NPI assigned
May 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Hannah M Rewey, NHA
Title
Administrator
Phone
(608) 349-6741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2729 WI Primary

Addresses

Primary practice location

555 N Chestnut St
Platteville, WI 53818-2105

Mailing address

555 N Chestnut St
P O Box 512
Platteville, WI 53818-2105
Phone (608) 349-6741

Other identifiers 1

IdentifierTypeStateIssuer
20100600MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336193374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N CHESTNUT ST",
            "address_2": "P O BOX 512",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538182105",
            "telephone_number": "608-349-6741",
            "fax_number": "608-349-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N CHESTNUT ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538182105",
            "telephone_number": "608-349-6741",
            "fax_number": "608-349-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY'S NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REWEY",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-349-6741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20100600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.