BARRON CARE & REHAB (SENIOR MANAGEMENT INC) NPI 1003000514
Skilled Nursing Facility in Barron, WI
About BARRON CARE & REHAB (SENIOR MANAGEMENT INC)
Barron Care & Rehab (senior Management Inc) is a provider established in Barron, Wisconsin specializing in skilled nursing facility. The NPI number of Barron Care & Rehab (senior Management Inc) is 1003000514 and was assigned on August 2007. The practitioner's primary taxonomy code is 314000000X with license number 3038 (WI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Barron Care & Rehab.
The authorized official of this NPI record is Mr. Grant Donald Thayer Nha (President)
| NPI | 1003000514 |
| Provider Name | BARRON CARE & REHAB (SENIOR MANAGEMENT INC) |
| Provider Location Address | 660 E BIRCH AVE BARRON, WI 54812 |
| Provider Mailing Address | 660 E BIRCH AVE BARRON, WI 54812 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Other Organization Name | BARRON CARE & REHAB |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 08-29-2007 |
| Last Update Date | 01-10-2008 |
Primary Taxonomy
| Taxonomy Code | 314000000X |
| Classification | Skilled Nursing Facility |
| Type | Nursing & Custodial Care Facilities |
| License No. | 3038 |
| License State | WI |
| Taxonomy Description | (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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Business Address
BARRON CARE & REHAB (SENIOR MANAGEMENT INC)
660 E BIRCH AVE
BARRON, WI
ZIP 54812
Phone: (715) 537-5643
Fax: (715) 537-1222
Mailing Address
BARRON CARE & REHAB (SENIOR MANAGEMENT INC)
660 E BIRCH AVE
BARRON, WI
ZIP 54812
Phone: (715) 537-5643
Fax: (715) 537-1222
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates.
| CLIA Number | 52D0857557 |
| Facility Type | SKILLED NURSING/NURSING FACILITY |
| Certificate Type | Waiver |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 20198800 | MEDICAID (05) | WI |
| 525648 | MEDICARE OSCAR/CERTIFICATION (06) | WI |
Other Providers at the same location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154320802 | BARRON HEALTHCARE CENTER INC. Organization | Skilled Nursing Facility | 660 E BIRCH AVE BARRON, WI 54812 (715) 537-5643 |
| 1184992133 | DANA LYN POND OTR Individual | Occupational Therapist | 660 E BIRCH AVE BARRON, WI 54812 (715) 537-5643 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.