Bornemann Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2963 Issued in WI

Legal business name

BORNEMANN OPERATING COMPANY, LLC

Practice address

226 Bornemann St
Green Bay, WI 54302-3502

Phone

(920) 468-8675

NPI assigned

Aug 22, 2014

Last updated

Nov 3, 2016By 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

Jonathan Heraty

Title

Member

Phone

(716) 748-7880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1912306283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BORNEMANN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023502",
            "telephone_number": "920-468-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORNEMANN OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "HERATY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-748-7880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Margaret Bores, DDS
• Cori E Borg, APNP
• Jeanne Louise Borgen, CRNA
• Jesse Jon Borman, MD
• Bornemann Nursing Home Inc
• Wayne Borowitz, SAC-IT
• Heather A Bors
• Gail P Bosco, PA
• John J. Bosco, M.D.
• Laura Bosco, NP

• Skilled Nursing Facility in Green Bay, WI
• Providers in Green Bay, 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 Nov 3, 2016; 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.