Pepin Operator, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3165 Issued in WI

Legal business name

PEPIN OPERATOR, LLC

Doing business as

Pepin Health and Rehab

Practice address

1110 2ND St
Pepin, WI 54759-9658

Phone

(715) 442-4811

Fax

(715) 442-2904

NPI assigned

Sep 19, 2005

Last updated

Jul 29, 2014By 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

Stuart Lindemen

Title

Ceo & President

Phone

(813) 280-1333

Specialties & licenses 1

Addresses

Other names 1

• Pepin Health and Rehab Doing business as

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1366437006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SECOND STREET",
            "city": "PEPIN",
            "state": "WI",
            "postal_code": "547599658",
            "telephone_number": "715-442-4811",
            "fax_number": "715-442-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 2ND ST",
            "city": "PEPIN",
            "state": "WI",
            "postal_code": "547599658",
            "telephone_number": "715-442-4811",
            "fax_number": "715-442-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPIN OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "LINDEMEN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "813-280-1333"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pepin Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas John Commerford
• Heyde Health System Pepin LLC (Lakeview Residence)
• Steven Harris Johnson, D.D.S.
• Pepin Area School District
• Pepin Emergency Ambulance Service
• Ellie Darline Stuman, LSW

• Skilled Nursing Facility in Pepin, WI
• Providers in Pepin, 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 Jul 29, 2014; 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.