Rice Lake Convalescent Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5129 Issued in WI

Legal business name

RICE LAKE CONVALESCENT CENTER

Practice address

1016 Lakeshore Dr
Rice Lake, WI 54868-1225

Phone

(715) 234-9101

NPI assigned

Feb 11, 2015

Organization subpart

Yes

Parent organization

FIRST AMERICAN ENTERPRISESAs reported in NPPES

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

Authorized official

Name

Jackie Damaske

Title

Bom

Phone

(715) 234-9101

Specialties & licenses 1

Addresses

Part of

Rice Lake Convalescent Center

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• First American Enterprises Inc

  • Skilled Nursing Facility
  • Rice Lake, WI
  • NPI 1518026566
  NPPES parent name

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1790176816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 LAKESHORE DR",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 LAKESHORE DR",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681225",
            "telephone_number": "715-234-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE LAKE CONVALESCENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST AMERICAN ENTERPRISES",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "DAMASKE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BOM",
        "authorized_official_telephone_number": "715-234-9101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "5129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas J Raether, M.D.
• Randall Therapeutic Services
• Kimberly Nicpon Randall
• Rice Lake Area School District
• Rice Lake Chiropractic Inc
• Rice Lake Family Eyecare, LLC
• Rice Lake Operations LLC
• Rice Lake Physical Therapy and Rehab Specialists
• Rice Lake Rehabilitation and Care Center LLC
• Rice Lake Rehabilitation and Nursing Center LLC

• Skilled Nursing Facility in Rice Lake, WI
• Providers in Rice Lake, 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 Feb 11, 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.