LJ III Health Management, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LJ III HEALTH MANAGEMENT, INC

Doing business as

Woods Crossing at Woods Point

Practice address

E401 23Rd St
Brodhead, WI 53520-2203

Phone

(608) 897-3031

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Lee Gunderson

Title

President

Phone

(608) 365-9451

Specialties & licenses 1

Addresses

Other names 1

• Woods Crossing at Woods Point Doing business as

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750482709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 PIONEER DR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E401 23RD ST",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202203",
            "telephone_number": "608-897-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ III HEALTH MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-365-9451"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woods Crossing at Woods Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Huenerberg
• Iris Health Clinic
• Daphne S Johnson
• Andrew J Kebus, DDS
• Kathleen Kornaus, MS OTR/L
• Joseph Mac Alpine, DC
• Travis Malott, D.C.
• Mercy Health System Corporation (Mercy Brodhead Medical Center)
• Steven L Mischka, FNP
• Lindsay Faith Mohrbacher

• Skilled Nursing Facility in Brodhead, WI
• Providers in Brodhead, 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.