North Oak Health Care, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0016554 Issued in WI

Legal business name

NORTH OAK HEALTH CARE, INC.

Doing business as

Fieldcrest Manor

Practice address

1510 S 30TH St
Manitowoc, WI 54220-5902

Phone

(920) 682-8980

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Dean C Maschoff

Title

President

Phone

(847) 612-0750

Specialties & licenses 1

Addresses

Other names 1

• Fieldcrest Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1629504600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623730",
            "telephone_number": "847-612-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S 30TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205902",
            "telephone_number": "920-682-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAK HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MASCHOFF",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-612-0750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "0016554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fieldcrest Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Julayne C Novak, RNC
• Kayla R Nowak

• Nursing Facility/Intermediate Care Facility in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Nursing Facility/Intermediate Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.