Active NPI
Countryview Group Homes LLC
- Lodging Provider
- Germantown, WI
National Provider Identifier
1558409227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 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 DirectoryLocations
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.