Zastrow Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3091 Issued in WI

Legal business name

ZASTROW CARE CENTER INC

Practice address

600 W Hickory Street
Gilman, WI 54433-0218

Phone

(715) 447-8217

Fax

(715) 447-5775

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By 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

Mr. Wayne C Zastrow, NHA

Title

Administrator

Phone

(715) 447-8217

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740352673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "GILMAN",
            "state": "WI",
            "postal_code": "544330218",
            "telephone_number": "715-447-8217",
            "fax_number": "715-447-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W HICKORY STREET",
            "city": "GILMAN",
            "state": "WI",
            "postal_code": "544330218",
            "telephone_number": "715-447-8217",
            "fax_number": "715-447-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZASTROW CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZASTROW",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-447-8217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20000300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholine F Crick, APNP
• Gilman Care Center LLC
• Gilman School District
• Phoenix Recovery Services LLC (Gilman Phoenix House)
• Brooke Ann Rocque, NP

• Skilled Nursing Facility in Gilman, WI
• Providers in Gilman, 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 Aug 22, 2020; 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.