Gallina Health Care Network, LTD

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

310564 Issued in WI

Legal business name

GALLINA HEALTH CARE NETWORK, LTD

Doing business as

Timber Oaks

Practice address

1390 8TH Ave
Union Grove, WI 53182-1063

Phone

(262) 878-4899

Fax

(262) 878-1167

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By 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. Steven D Kuranz, NHA

Title

Executive Director

Phone

(262) 878-2788

Specialties & licenses 1

Addresses

Other names 1

• Timber Oaks Doing business as

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942320056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 8TH AVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821063",
            "telephone_number": "262-878-4899",
            "fax_number": "262-878-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 8TH AVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821063",
            "telephone_number": "262-878-4899",
            "fax_number": "262-878-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLINA HEALTH CARE NETWORK, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KURANZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "262-878-2788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "310564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timber Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upali Elavia, DMD
• Allison Epping
• Taryn Kline Fernandes, MD
• Kristin Fields
• Amanda Fontenot, DPT
• Michael Joseph Gillen, PH.D.
• Harley Glodowski, LPC
• Julie Ann Gotsch, CMHC- MS, LPC-IT
• Maria Graham
• Stephen E Graham, D.V.M.

• Assisted Living Facility in Union Grove, WI
• Providers in Union Grove, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.