Dycora Transitional Health - Glendale LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DYCORA TRANSITIONAL HEALTH - GLENDALE LLC

Practice address

1300 W Silver Spring Dr
Glendale, WI 53209-4415

Phone

(414) 228-8120

NPI assigned

Oct 21, 2016

Last updated

Jan 24, 2018By 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

Mary Hawkins

Title

Executive

Phone

(414) 228-8120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1790236966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094415",
            "telephone_number": "414-228-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094415",
            "telephone_number": "414-228-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCORA TRANSITIONAL HEALTH - GLENDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "414-228-8120"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dropp
• Howard N Dubner, MD
• William James Dummer, DDS
• Kimberly Anne Duncan, M.A. CCC-SLP
• Paul Joseph Dupont, PHD
• Dycora Transitional Health - Milwaukee LLC
• Dyno Energy Services LLC
• Promise Dzakpasu, M.D.
• Bonnie Eckl, APNP
• Alwin Edakkunnathu, O.D.

• Skilled Nursing Facility in Glendale, WI
• Providers in Glendale, 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 Jan 24, 2018; 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.