NPIMap

Organization Active NPI

Kindred

  • Skilled Nursing Facility
  • Burlington, WI
National Provider Identifier
1760816086
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1781-27 Issued in WI
Legal business name
KINDRED
Practice address
677 E State St
Burlington, WI 53105-1639
Phone
(262) 763-9531
Fax
(262) 763-7579
NPI assigned
Aug 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mrs. Jennifer Dummer, PT
Title
Program Director
Phone
(262) 763-9531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1781-27 WI Primary

Addresses

Primary practice location

677 E State St
Burlington, WI 53105-1639

Mailing address

677 E State St
Burlington, WI 53105-1639
Phone (262) 763-9531

National Provider Directory

National Provider Directory
Tax ID family
Kindred Transitional Care Rehabilitation Colonial5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1760816086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E STATE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051639",
            "telephone_number": "262-763-9531",
            "fax_number": "262-763-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E STATE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051639",
            "telephone_number": "262-763-9531",
            "fax_number": "262-763-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "DUMMER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "262-763-9531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "1781-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.