Organization · Type 2 NPI

CCC of Pewaukee LLC

Skilled Nursing Facility · Waukesha, WI

NPI number 1578049995 Active

Practice location

N26W23977 Watertown Rd
Waukesha, WI 53188-1006

Call (847) 983-4860 Map

Mailing address

5454 Fargo Ave
Skokie, IL 60077-3210

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…

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About NPI 1578049995

CCC of Pewaukee LLC's National Provider Identifier is 1578049995, issued on Jul 18, 2018. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Waukesha, WI. The record was last updated on Jun 4, 2026.