601 Briarcliff Drive Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3235 Issued in WI

Legal business name

601 BRIARCLIFF DRIVE OPERATING COMPANY, LLC

Doing business as

Atrium Post Acute Care of Appleton

Practice address

601 N Briarcliff Dr
Appleton, WI 54915-2959

Phone

(920) 739-4466

Fax

(920) 739-2103

NPI assigned

Jan 14, 2016

Last updated

Apr 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin P Breslin

Title

Manager

Phone

(973) 339-8892

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atrium Post Acute Care of Appleton Doing business as

Locations

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1639535099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112444",
            "telephone_number": "920-991-9072",
            "fax_number": "920-749-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N BRIARCLIFF DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152959",
            "telephone_number": "920-739-4466",
            "fax_number": "920-739-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "601 BRIARCLIFF DRIVE OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-339-8892"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639535099",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Post Acute Care of Appleton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Appleton, WI
• Providers in Appleton, 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 Apr 5, 2016; 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.