Mayville Nursing and Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAYVILLE NURSING AND REHABILITATION CENTER

Practice address

305 S Clark St
Mayville, WI 53050-1488

Phone

(920) 387-0354

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Fatmeh HamdanNPI 1700120144

Title

Speech Language Pathologist

Phone

(414) 517-9223

Specialties & licenses 1

Addresses

Tax ID family

Mayville Nursing and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mayville Nursing and Rehab

  • Skilled Nursing Facility
  • Mayville, WI
  • NPI 1649615386
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fatmeh Hamdan

  • Speech-Language Pathologist
  • Mayville, WI
  • NPI 1700120144
  Authorized official Same address or phone

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1780935098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12785 W BOBWOOD RD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531516970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S CLARK ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501488",
            "telephone_number": "920-387-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYVILLE NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "FATMEH",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "414-517-9223",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Maaser
• Marshland Drugs Inc (Marshland Compounding Center)
• Mayville Chiropractic Center LLC
• Mayville Hometown Pharmacy LLC (Mayville Hometown Pharmacy)
• Mayville Nursing and Rehab
• Mayville Vision Center, Inc.
• Mayville Vision LLC
• Sarah Jo Mireski, PHARMD. RPH
• Kayla Jo Nonhof, APSW, SAC-IT
• Nicholas Anthony Novotny, DDS

• Skilled Nursing Facility in Mayville, WI
• Providers in Mayville, 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 Sep 26, 2012; 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.