Active NPI
Parkview Manor Healthcare LLC
- Skilled Nursing Facility
- Green Bay, WI
National Provider Identifier
1366489171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2680
- Legal business name
- PARKVIEW MANOR HEALTHCARE LLC
- Practice address
- 2961 Saint Anthony Dr
Green Bay, WI 54311-5860 - Phone
- (920) 468-0861
- Fax
- (920) 468-5897
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen S. Whitmer
- Title
- Manager
- Phone
- (920) 468-0861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2680 | WI | Primary |
Addresses
Primary practice location
2961 Saint Anthony Dr
Green Bay, WI 54311-5860
Mailing address
2961 Saint Anthony Dr
Green Bay, WI 54311-5860
Phone (920) 468-0861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20193000 | Medicaid | WI |
Other names 1
- Parkview Manor Health and Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1366489171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 SAINT ANTHONY DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115860",
"telephone_number": "920-468-0861",
"fax_number": "920-468-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 SAINT ANTHONY DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115860",
"telephone_number": "920-468-0861",
"fax_number": "920-468-5897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKVIEW MANOR HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "WHITMER",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "920-468-0861"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "2680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20193000",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkview Manor Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.