Wisconsin Health Care Foundation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3186 Issued in WI

Legal business name

WISCONSIN HEALTH CARE FOUNDATION

Doing business as

Fountain View Care Center LLC

Practice address

50 Wolverton Ave
Ripon, WI 54971-1050

Phone

(920) 748-5638

Fax

(920) 748-6427

NPI assigned

Aug 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry L Rice

Title

Manager

Phone

(920) 991-9072

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FOUNTAIN VIEW CARE CENTER LLC Doing business as

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1982697132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112444",
            "telephone_number": "920-991-9072",
            "fax_number": "920-749-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WOLVERTON AVE",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711050",
            "telephone_number": "920-748-5638",
            "fax_number": "920-748-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN HEALTH CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-991-9072"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20189100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN VIEW CARE CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Ripon, WI
• Providers in Ripon, 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 Feb 5, 2008; 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.