San Luis Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAN LUIS HEALTH CARE LLC

Practice address

2305 San Luis PL
Green Bay, WI 54304-5211

Phone

(920) 494-5231

Fax

(920) 494-1958

NPI assigned

Mar 8, 2014

Organization subpart

No

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

Authorized official

Name

Judah Bienstock

Title

Managing Member

Phone

(314) 631-3000

Specialties & licenses 1

Addresses

Other names 1

• Maple Ridge Rehabilitation and Care Center Doing business as

Locations

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1588080055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SAN LUIS PL",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045211",
            "telephone_number": "920-494-5231",
            "fax_number": "920-494-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SAN LUIS PL",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045211",
            "telephone_number": "920-494-5231",
            "fax_number": "920-494-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Ridge Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sam'S Club Optical
• Patrick Jode Samels, OD
• Melanie Lynn Samonds
• Brooke Kathleen Sample, MS
• Sams East Inc
• San Luis Medical & Rehab
• San Luis Medical & Rehab Center
• San Luis Medical & Rehab Center
• Jasmine Sanchez, LCSW
• Jennifer Sanchez

• Skilled Nursing Facility in Green Bay, WI
• Providers in Green Bay, 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 Dec 2, 2015; 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.