Waunakee Operations, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

2450 Issued in WI

Legal business name

WAUNAKEE OPERATIONS, LLC

Doing business as

Waunakee Manor Health Care Center

Practice address

801 S Klein Dr
Waunakee, WI 53597-1575

Phone

(608) 849-5016

Fax

(608) 850-4689

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By 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

Mr. Kenneth Q Dao

Title

Vice President

Phone

(714) 401-9960

Specialties & licenses 1

Addresses

Other names 1

• Waunakee Manor Health Care Center Doing business as

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1902308760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S KLEIN DR",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971575",
            "telephone_number": "608-849-5016",
            "fax_number": "608-850-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S KLEIN DR",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971575",
            "telephone_number": "608-849-5016",
            "fax_number": "608-850-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUNAKEE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-401-9960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WI",
            "license": "2450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waunakee Manor Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Waunakee, WI
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• Nursing Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.