Organization · Type 2 NPI

Appleton Nursing and Rehab LLC

Skilled Nursing Facility · Appleton, WI

NPI number 1275130403 Active

Practice location

1335 S Oneida St
Appleton, WI 54915-1351

Call (920) 731-6646 Map

Mailing address

8170 Mccormick Blvd Ste 119
Skokie, IL 60076-2961

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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…

15 other providers at this address

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NPI record

NPI: 1275130403
Entity type: Organization (Type 2)
Issued: Oct 1, 2020
Last updated: Feb 3, 2022
Status: Active

Other names

<unavail>
Meadowbrook at Appleton · doing business as
Manor Care of Appleton · former legal business name
Manor Care of Appleton · former legal business name

Authorized official

Rostislav Pukshansky
CEO
(847) 842-7575

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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 1275130403

Appleton Nursing and Rehab LLC's National Provider Identifier is 1275130403, issued on Oct 1, 2020. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Appleton, WI. The record was last updated on Feb 3, 2022.