First American Enterprises, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2463 Issued in WI

Legal business name

FIRST AMERICAN ENTERPRISES, INC

Doing business as

Heritage Manor

Practice address

19 West Newton St
Rice Lake, WI 54868-1744

Phone

(715) 234-2161

Fax

(715) 234-1705

NPI assigned

Jun 28, 2005

Organization subpart

Yes

Parent organization

FIRST AMERICAN ENTERPRISES, INCAs reported in NPPES

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

Authorized official

Name

Darlene A Denucci

Title

Administrator

Phone

(715) 234-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HERITAGE MANOR Doing business as

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

  dba Rice Lake Convalescent Center

  • 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": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1801892435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WEST NEWTON ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681744",
            "telephone_number": "715-234-2161",
            "fax_number": "715-234-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WEST NEWTON ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681744",
            "telephone_number": "715-234-2161",
            "fax_number": "715-234-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST AMERICAN ENTERPRISES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST AMERICAN ENTERPRISES, INC",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "DENUCCI",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-234-2161"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20156200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne L Faltz Bailey, LCSW
• Family Health Center of Marshfield Inc (Family Health Center - Rice Lake Dental Center)
• Courtney Fedie, OTR
• Gerald R. Fenske, D.D.S.
• First American Enterprises Inc (Rice Lake Convalescent Center)
• Lisa Marie Flanagan, OTR/L
• Kari Flom, MS RDN CD
• Dennis Charles Flood, PA
• Kate S Flood, PA-C
• Alexandria Lynn Fox, DNP

• 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 Jul 14, 2008; 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.