Pepin Operator, LLC
Organization Active NPI Skilled Nursing Facility · Pepin, WI
NPI 1366437006 · NPPES record last updated Jul 29, 2014
Key facts
- NPI
- 1366437006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 3165 (WI)
- Legal business name
- PEPIN OPERATOR, LLC
- Practice address
- 1110 2ND St
Pepin, WI 54759-9658 - Phone
- (715) 442-4811
- Fax
- (715) 442-2904
- NPI assigned
- Sep 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Stuart Lindemen
- Title
- Ceo & President
- Phone
- (813) 280-1333
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3165 | WI | Yes |
Addresses
Primary practice location
1110 2ND St
Pepin, WI 54759-9658
Mailing address
1110 Second Street
Pepin, WI 54759-9658
Phone (715) 442-4811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20189800 | Medicaid | WI |
Other names
- Pepin Health and Rehab
Other providers in Pepin, WI
- Thomas John Commerford
- Heyde Health System Pepin LLC
- Steven Harris Johnson
- Pepin Area School District
- Pepin Emergency Ambulance Service
- Ellie Darline Stuman
All providers in Pepin, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.