Active NPI
Family Heritage Nursing & Rehabilitation Center LLC
- Skilled Nursing Facility
- Black River Falls, WI
National Provider Identifier
1861796492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3211
- Legal business name
- FAMILY HERITAGE NURSING & REHABILITATION CENTER LLC
- Practice address
- 1311 Tyler St
Black River Falls, WI 54615-1564 - Phone
- (715) 284-4396
- Fax
- (715) 284-7786
- NPI assigned
- Dec 22, 2010
- Last updated
- Jul 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe Orlinsky
- Title
- Managing Member
- Phone
- (314) 588-7518
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3211 | WI | Primary |
Addresses
Primary practice location
1311 Tyler St
Black River Falls, WI 54615-1564
Mailing address
1311 Tyler St
Black River Falls, WI 54615-1564
Phone (715) 284-4396
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100012961 | Medicaid | WI | |
| 20183900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310428800000",
"number": "1861796492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 TYLER ST",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546151564",
"telephone_number": "715-284-4396",
"fax_number": "715-284-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 TYLER ST",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546151564",
"telephone_number": "715-284-4396",
"fax_number": "715-284-7786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HERITAGE NURSING & REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-22",
"last_updated": "2011-07-12",
"status": "A",
"authorized_official_last_name": "ORLINSKY",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "314-588-7518"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "3211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100012961",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20183900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Black River Falls, WI
- Kimberly S Ernstmeyer, NP
- Margaret Evers, L.I.C.S.W.
- Family & Children's Center
- Family & Children's Center, Inc (Family & Children's Center)
- Family Health Center of Marshfield Inc (Black River Falls Dental Center)
- Megan Field
- Steven J Firkins, MS, LCSW,CSAC
- Charlotte Ann Fleischmann, RN
- Footprints in Time Midwifery Services LLC
- Forrest Hills LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.