DIVINE SAVIOR HEALTHCARE PHARMACY, LONG TERM CARE
NPI 1831693100
Pharmacy - Long Term Care Pharmacy in Portage, WI

Q: What is Divine Savior Healthcare, Inc.'s NPI number?

The NPI number for Divine Savior Healthcare, Inc. is 1831693100. It was assigned to this organization in the NPPES registry on March 21, 2018. The provider is also known as Divine Savior Healthcare Pharmacy, Long Term Care.

Q: What is Divine Savior Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since March 21, 2018

2817 NEW PINERY ROAD, PORTAGE, WI 53901(608) 745-5603(608) 742-6098 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Divine Savior Healthcare Pharmacy, Long Term Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE SAVIOR HEALTHCARE PHARMACY, LONG TERM CARE (NPI 1831693100) is a healthcare organization registered as a long term care pharmacy in Portage, Wisconsin and active in the NPI registry since March 2018. The organization lists Marlin D Nelson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1831693100

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameDIVINE SAVIOR HEALTHCARE, INC.

Location Address2817 NEW PINERY ROADPortage, WI 53901

Mailing Address2817 New Pinery RoadPortage, WI 53901 · (608) 745-5603 · Fax (608) 742-6098

Phone(608) 745-5603

Fax(608) 742-6098

Organization SubpartYes

Authorized OfficialMarlin D NelsonCfo · (608) 745-5610

Enumeration DateMarch 21, 2018

✔ NPI 1831693100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

2817 NEW PINERY ROAD, Portage, WI 53901

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Other Names 1

Other NameDivine Savior Healthcare Pharmacy, Long Term Care

Other Identifiers 1

Medicaid33113100WI

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORI A SCHUMANN PT

Physical Therapist

2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE
PORTAGE, WI 53901

Columbia County (608) 745-5063

DR. ROBERT VINCENT CASTROVINCI M.D.

Ophthalmology

2817 NEW PINERY ROAD
PORTAGE, WI 53901

Columbia County (608) 745-5600

MRS. DIANA L CHARLEBOIS MSN-FNP

Nurse Practitioner (Family)

2817 NEW PINERY ROAD
PORTAGE, WI 53901

Columbia County (608) 745-4693

MR. JAMES M SWAN JR. APNP

Nurse Practitioner

2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901

Columbia County (608) 742-4131

DIVINE SAVIOR HEALTHCARE INC

Home Health

2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901

Columbia County (608) 742-4131

CAROL ADA PIERCE MD

Surgery

2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901

Columbia County (608) 742-4131

LEONAS PRANAS SULAS MD

Urology

2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE
PORTAGE, WI 53901

Columbia County (608) 745-5603

DR. ROBERT A. HENRY JR. D.O.

Family Medicine

2817 NEW PINERY ROAD
PORTAGE, WI 53901

Columbia County (608) 742-4131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Savior Healthcare, Inc.'s NPI number?

The NPI number for Divine Savior Healthcare, Inc. is 1831693100. It was assigned to this organization in the NPPES registry on March 21, 2018. The provider is also known as Divine Savior Healthcare Pharmacy, Long Term Care.

Where is Divine Savior Healthcare, Inc. located?

Divine Savior Healthcare, Inc. is located at 2817 New Pinery Road, Portage, WI 53901. The listed phone number is (608) 745-5603.

What is Divine Savior Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Divine Savior Healthcare, Inc. was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.