Minocqua Health and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MINOCQUA HEALTH AND REHAB LLC

Doing business as

Minocqua Health and Rehab LLC

Practice address

9969 Old Highway 70
Minocqua, WI 54548-9010

Phone

(715) 356-6016

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Facility Administrator

Title

Administrator

Phone

(715) 356-6016

Specialties & licenses 1

Addresses

Other names 1

• Minocqua Health and Rehab LLC Doing business as

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1831714518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9969 OLD HIGHWAY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9969 OLD HIGHWAY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489010",
            "telephone_number": "715-356-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOCQUA HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "ADMINISTRATOR",
        "authorized_official_first_name": "FACILITY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-356-6016"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minocqua Health and Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederick Alfred Melms Jr., M.D.
• William F Melms, MD
• Michael V. Cirilli D.C. Inc. (Cirilli Chiropractic)
• Charles R Michels, LCSW
• Theresa Kolb Miller
• Minocqua J1
• Susan Mitchler, PA
• Sean M Moe, PA-C
• Michael J Monson, MD
• Jolanta B. Mroz, MD

• Skilled Nursing Facility in Minocqua, WI
• Providers in Minocqua, 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 Jun 9, 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.