NPIMap

Organization Active NPI

County of la Crosse

Doing business as Regent Manor

  • Adult Care Home Facility
  • West Salem, WI
National Provider Identifier
1750915575
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
COUNTY OF LA CROSSE
Doing business as
Regent Manor
Practice address
856 Garland St E
West Salem, WI 54669
Phone
(608) 786-0168
Fax
(608) 793-6604
NPI assigned
Mar 2, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LA CROSSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Wanda Gibney
Title
Executive Director Long Term Care &
Phone
(608) 612-0643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

856 Garland St E
West Salem, WI 54669

Mailing address

962 Garland St E
West Salem, WI 54669
Phone (608) 786-1400

Other names 1

  • Regent Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Health Center22 organizations share this tax ID, including this one
Part of
Lakeview Health Center

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1750915575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 GARLAND ST E",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "54669",
            "telephone_number": "608-786-1400",
            "fax_number": "608-793-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 GARLAND ST E",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "54669",
            "telephone_number": "608-786-0168",
            "fax_number": "608-793-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LA CROSSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LA CROSSE",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "GIBNEY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR LONG TERM CARE &",
        "authorized_official_telephone_number": "608-612-0643"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.