Organization Active NPI

Countryview Group Homes LLC

  • Lodging Provider
  • Germantown, WI
National Provider Identifier
1558409227
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
COUNTRYVIEW GROUP HOMES LLC
Practice address
N112W12850 Mequon Rd
Germantown, WI 53022-3624
Phone
(262) 512-1177
Fax
(262) 512-9404
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Mrs. Ruth Kantrowitz
Title
Administrator
Phone
(262) 243-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 177F00000X WI Primary

Addresses

Primary practice location

N112W12850 Mequon Rd
Germantown, WI 53022-3624

Mailing address

1538 W Liebau Rd
Mequon, WI 53092-2621
Phone (262) 243-5515

National Provider Directory

National Provider Directory

Locations

N112W12850 Mequon Rd
Germantown, WI 53022
Phone (262) 512-1177

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1558409227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 W LIEBAU RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922621",
            "telephone_number": "262-243-5515",
            "fax_number": "262-243-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W12850 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223624",
            "telephone_number": "262-512-1177",
            "fax_number": "262-512-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYVIEW GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "KANTROWITZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-243-5515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lodging",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.