Organization Active NPI

Family Heritage Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Black River Falls, WI
National Provider Identifier
1861796492
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3211 Issued in WI
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100012961MedicaidWI
20183900MedicaidWI

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.