Active NPI
Dove Healthcare
- Skilled Nursing Facility
- Eau Claire, WI
National Provider Identifier
1386973287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4792-026
- Legal business name
- DOVE HEALTHCARE
- Practice address
- 3656 Mall Dr
Eau Claire, WI 54701-7634 - Phone
- (715) 552-1035
- NPI assigned
- Dec 24, 2009
- 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
- Denise Jensen
- Title
- Business Office Manager
- Phone
- (715) 552-1035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4792-026 | WI | Primary |
Addresses
Primary practice location
3656 Mall Dr
Eau Claire, WI 54701-7634
Mailing address
3656 Mall Dr
Eau Claire, WI 54701-7634
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261612800000",
"number": "1386973287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3656 MALL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547017634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3656 MALL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547017634",
"telephone_number": "715-552-1035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOVE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-24",
"last_updated": "2009-12-24",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "715-552-1035"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "4792-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.