Cordial Care Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CORDIAL CARE CORPORATION

Doing business as

Hearthside

Practice address

305 Fieldcrest Rd
Sister Bay, WI 54234-9385

Phone

(920) 854-7225

Fax

(920) 854-9048

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By 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

Martha L CoventryNPI 1992839641

Title

Administrator

Phone

(920) 493-5356

Specialties & licenses 1

Addresses

Other names 1

• Hearthside Doing business as

Practitioners 1

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.

• Martha L Coventry

  • Family Nurse Practitioner
  • Sister Bay, WI
  • NPI 1992839641
  Authorized official Same address or phone

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861616625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FIELDCREST RD",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542349385",
            "telephone_number": "920-854-7225",
            "fax_number": "920-854-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FIELDCREST RD",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542349385",
            "telephone_number": "920-854-7225",
            "fax_number": "920-854-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDIAL CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COVENTRY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-493-5356"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearthside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aurora Medical Group, Inc.
• Cassaundra N Bratz, LPC
• Susan Carol Brozek, LCSW
• Rachael Anne Chomeau, PTA
• Cliffside Dental, LLC
• Martha L Coventry
• Courtney Rheins Curry, APNP
• Jack Patrick Dooley, DDS
• Door County Memorial Hospital (Door County Medical Center Sister Bay Remote Dispensing Site)
• Door County Memorial Hospital (Door County Medical Center Sister Bay)

• Assisted Living Facility in Sister Bay, WI
• Providers in Sister Bay, WI by specialty
• Assisted Living Facility in Wisconsin

• 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.