Birch Hill Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2895 Issued in WI

Legal business name

BIRCH HILL CARE CENTER LLC

Doing business as

Atrium Post Acute Care of Shawano at Birch Hill

Practice address

1475 Birch Hill LN
Shawano, WI 54166-3707

Phone

(715) 526-3161

Fax

(715) 524-5896

NPI assigned

Jul 26, 2005

Last updated

May 27, 2015By 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

Robert M Parkins

Title

Cfo

Phone

(920) 364-9754

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ATRIUM POST ACUTE CARE OF SHAWANO AT BIRCH HILL Doing business as

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1790785475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112444",
            "telephone_number": "920-991-9072",
            "fax_number": "920-749-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BIRCH HILL LN",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663707",
            "telephone_number": "715-526-3161",
            "fax_number": "715-524-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH HILL CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "PARKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-364-9754"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20192200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATRIUM POST ACUTE CARE OF SHAWANO AT BIRCH HILL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Born Bernath, M.D.
• Aeric Berner, DC
• Katie Lynn Bero
• Kavit Lache Beyersdorf, OD
• Bio-Medical Applications of Wisconsin Inc (Fresenius Medical Care Shawano)
• David Randall Block, LCSW
• Judith A Blum, O.T.R.
• Tiffani Lee Bohm, RN
• Robert Joseph Bohr Jr.
• Cynthia M Bohringer

• Skilled Nursing Facility in Shawano, WI
• Providers in Shawano, 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 May 27, 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.