Organization Active NPI

Nu-Roc Community Healthcare, Inc.

  • Skilled Nursing Facility
  • Laona, WI
National Provider Identifier
1447258751
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
913 Issued in WI
Legal business name
NU-ROC COMMUNITY HEALTHCARE, INC.
Practice address
3576A Nu Roc LN
Laona, WI 54541-9291
Phone
(715) 674-4477
Fax
(715) 674-4016
NPI assigned
Jul 11, 2005
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul M Newton
Title
Asst. Administrator
Phone
(715) 674-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 913 WI Primary

Addresses

Primary practice location

3576A Nu Roc LN
Laona, WI 54541-9291

Mailing address

3576A Nu Roc LN
Laona, WI 54541-9291
Phone (715) 674-4477

Other identifiers 1

IdentifierTypeStateIssuer
20159100MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1447258751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576A NU ROC LN",
            "city": "LAONA",
            "state": "WI",
            "postal_code": "545419291",
            "telephone_number": "715-674-4477",
            "fax_number": "715-674-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576A NU ROC LN",
            "city": "LAONA",
            "state": "WI",
            "postal_code": "545419291",
            "telephone_number": "715-674-4477",
            "fax_number": "715-674-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU-ROC COMMUNITY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "715-674-4477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20159100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.