Omro Healthcare LLC
Organization Active NPI Skilled Nursing Facility · Omro, WI
NPI 1912944810 · NPPES record last updated Sep 29, 2016
Key facts
- NPI
- 1912944810
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 3241 (WI)
- Legal business name
- OMRO HEALTHCARE LLC
- Practice address
- 500 Grant Ave
Omro, WI 54963-1342 - Phone
- (920) 685-2755
- Fax
- (920) 685-0599
- NPI assigned
- May 31, 2006
- Organization subpart
- No
Authorized official
- Name
- William R. Watson II
- Title
- Manager
- Phone
- (920) 685-2755
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3241 | WI | Yes |
Addresses
Primary practice location
500 Grant Ave
Omro, WI 54963-1342
Mailing address
500 Grant Ave
Omro, WI 54963-1342
Phone (920) 685-2755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20192900 | Medicaid | WI |
Other names
- Omro Care Center
Other providers in Omro, WI
- Jennifer Oaks
- Off-the-Track Counseling LLC
- Sarah A Olson
- Omro Chiropractic Center
- Omro Chiropractic Office, SC
- Omro Meds, LLC
- Omro Nursing and Rehab, LLC
- Kristin Anne Phillips
- Primal Chiropractic Omro LLC
- David E Resen
All providers in Omro, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.