Organization Active NPI

Franciscan Care and Rehabilitation Center, Inc.

  • Skilled Nursing Facility
  • Appleton, WI
National Provider Identifier
1770530990
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2943 Issued in WI
Legal business name
FRANCISCAN CARE AND REHABILITATION CENTER, INC.
Practice address
2915 N Meade St
Appleton, WI 54911-1509
Phone
(920) 720-1464
Fax
(920) 720-1728
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Mr. Jeff Scott Badger
Title
Sr. V.P. Finance, Cfo
Phone
(920) 720-1464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2943 WI Primary

Addresses

Primary practice location

2915 N Meade St
Appleton, WI 54911-1509

Mailing address

1570 Midway PL
Menasha, WI 54952-1165
Phone (920) 720-1464

Other identifiers 1

IdentifierTypeStateIssuer
20124700MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1770530990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 MIDWAY PL",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521165",
            "telephone_number": "920-720-1464",
            "fax_number": "920-720-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 N MEADE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111509",
            "telephone_number": "920-720-1464",
            "fax_number": "920-720-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN CARE AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "BADGER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SR. V.P. FINANCE, CFO",
        "authorized_official_telephone_number": "920-720-1464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20124700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.