NPIMap

Organization Active NPI

Greenfield Rehab Agency Unc.

  • Skilled Nursing Facility
  • Kewaunee, WI
National Provider Identifier
1801006580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
223019 Issued in WI
Legal business name
GREENFIELD REHAB AGENCY UNC.
Practice address
1308 Lincoln St
Kewaunee, WI 54216-1606
Phone
(920) 388-4111
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Amy Jo Haverkorn, PTA
Title
Physical Therapist Assistant
Phone
(920) 388-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 223019 WI Primary

Addresses

Primary practice location

1308 Lincoln St
Kewaunee, WI 54216-1606

Mailing address

N5742 Cty C
Casco, WI 54205
Phone (920) 837-2370

National Provider Directory

National Provider Directory

Locations

N306 Maple St
Stephenson, MI 49887
Phone (906) 753-2231

3360 Gateway Rd
Brookfield, WI 53045
Phone (262) 289-3833

225 S Monroe Ave
Ste 201
Green Bay, WI 54301
Phone (262) 295-6289

225 S Monroe Ave
Ste 205
Green Bay, WI 54301

2900 Curry Ln
Ste 205
Green Bay, WI 54311
Phone (920) 288-0042

1323 Creston Park Dr
Janesville, WI 53545
Phone (608) 756-9440

1496 W Mequon Rd
Mequon, WI 53092
Phone (262) 365-9063

3550 W Canal St
Milwaukee, WI 53208

3151 Eden Ct
Oshkosh, WI 54904
Phone (620) 651-4000

9047 W Greenfield Ave
West Allis, WI 53214
Phone (414) 453-9290

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801006580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5742 CTY C",
            "city": "CASCO",
            "state": "WI",
            "postal_code": "54205",
            "telephone_number": "920-837-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161606",
            "telephone_number": "920-388-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD REHAB AGENCY UNC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVERKORN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "920-388-4111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "223019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewaunee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.