NPIMap

Organization Active NPI

Woodlands of Gillett, Inc.

  • Skilled Nursing Facility
  • Gillett, WI
National Provider Identifier
1689670549
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2702 Issued in WI
Legal business name
WOODLANDS OF GILLETT, INC.
Practice address
330 Robin Hood LN
Gillett, WI 54124-9201
Phone
(920) 855-2136
Fax
(920) 855-1631
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Ms. Sandi Schneider
Title
Administrator
Phone
(920) 855-2136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2702 WI Primary

Addresses

Primary practice location

330 Robin Hood LN
Gillett, WI 54124-9201

Mailing address

430 Manor Dr
Suring, WI 54174-9182
Phone (920) 842-1111

Other identifiers 1

IdentifierTypeStateIssuer
20188500MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1689670549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MANOR DR",
            "city": "SURING",
            "state": "WI",
            "postal_code": "541749182",
            "telephone_number": "920-842-1111",
            "fax_number": "920-842-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ROBIN HOOD LN",
            "city": "GILLETT",
            "state": "WI",
            "postal_code": "541249201",
            "telephone_number": "920-855-2136",
            "fax_number": "920-855-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS OF GILLETT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-855-2136",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20188500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillett, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.