Washington County Wisconsin

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3192 Issued in WI

Legal business name

WASHINGTON COUNTY WISCONSIN

Practice address

3200 Pleasant Valley Rd
West Bend, WI 53095-9274

Phone

(262) 707-6800

Fax

(262) 707-6801

NPI assigned

Jul 26, 2006

Last updated

Dec 21, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

WASHINGTON COUNTY WISCONSINAs reported in NPPES

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

Authorized official

Name

Mr. Edward Eugene Somers, NHA

Title

Administrator

Phone

(262) 335-4500

Specialties & licenses 1

Addresses

Other names 1

• Samaritans Cedar Crossing Sub-Acute Unit Other name

Part of

Washington County Community Recovery Services

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1750305520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E WASHINGTON ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952531",
            "telephone_number": "262-335-4500",
            "fax_number": "262-335-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PLEASANT VALLEY RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959274",
            "telephone_number": "262-707-6800",
            "fax_number": "262-707-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY WISCONSIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON COUNTY WISCONSIN",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-335-4500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritans Cedar Crossing Sub-Acute Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Washington County Mental Health Center
• Washington County Mental Health Center
• Washington County Wisconsin (Washington County Health)
• Washington County Wisconsin (Samaritan Health Center)
• Washington County Wisconsin (Washington County Human Services Mental Health Center)
• Washington County Wisconsin (Washington County WIC Program)
• Patricia Waters, OT
• Ninfa Weathersby, SLP
• John F. Weaver, OD
• Ashley Weber

• Skilled Nursing Facility in West Bend, WI
• Providers in West Bend, 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 21, 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.