725 Knapp St Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2021 Issued in WI

Legal business name

725 KNAPP ST OPERATING COMPANY, LLC

Doing business as

Atrium Post Acute Care of Chetek

Practice address

1726 N Ballard Rd
Appleton, WI 54911-2444

Phone

(920) 991-9072

Fax

(920) 749-4022

NPI assigned

Mar 7, 2016

Last updated

Apr 5, 2016By 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

Kevin P Breslin

Title

Manager

Phone

(973) 339-8892

Specialties & licenses 1

Addresses

Other names 1

• Atrium Post Acute Care of Chetek Doing business as

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1376903161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KNAPP ST",
            "city": "CHETEK",
            "state": "WI",
            "postal_code": "547289106",
            "telephone_number": "715-924-4891",
            "fax_number": "715-924-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112444",
            "telephone_number": "920-991-9072",
            "fax_number": "920-749-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "725 KNAPP ST OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-339-8892"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Post Acute Care of Chetek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Appleton, WI
• Providers in Appleton, 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 Apr 5, 2016; 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.