Organization · Type 2 NPI

Clearwater Care Center, LLC

Skilled Nursing Facility · Eau Claire, WI

NPI number 1003842873 Active

Practice location

2120 Heights Drive
Eau Claire, WI 54701

Call (715) 832-1681 Map

Fax (715) 831-7022

Mailing address

121 South Water Avenue
Gallatin, TN 37066-2902

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	3224 (WI)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1003842873
Entity type: Organization (Type 2)
Issued: Jun 24, 2006
Last updated: May 31, 2018
Status: Active

Other names

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American Eagle Nursing Home Company of Eau Claire, LLC · former legal business name

Authorized official

Mr. Douglass B. Smith
President and COO
(615) 647-9004

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003842873

Clearwater Care Center, LLC's National Provider Identifier is 1003842873, issued on Jun 24, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Eau Claire, WI. The record was last updated on May 31, 2018.