DYCORA TRANSITIONAL HEALTH - BEAVER DAM LLC
NPI 1992257109
Skilled Nursing Facility in Beaver Dam, WI

Active since November 04, 2016
410 ROEDL CT, BEAVER DAM, WI 53916(920) 887-7191 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2018, Dec 4, 2017, Mar 3, 2017 and 1 more (4 updates tracked since 2016).

About Dycora Transitional Health - Beaver Dam Llc NPPES

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

DYCORA TRANSITIONAL HEALTH - BEAVER DAM LLC (NPI 1992257109) is a healthcare organization registered as a skilled nursing facility in Beaver Dam, Wisconsin and active in the NPI registry since November 2016. The organization lists Mary Hawkins, Executive, as its authorized official.

NPPES Registry Identity

NPI1992257109
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDYCORA TRANSITIONAL HEALTH - BEAVER DAM LLC
Location Address410 ROEDL CTBeaver Dam, WI 53916-2934
Mailing Address410 Roedl CtBeaver Dam, WI 53916-2934 · (920) 887-7191
Organization SubpartNo
Authorized OfficialMary HawkinsExecutive · (920) 887-7191
Enumeration DateNovember 4, 2016
Last NPPES UpdateJanuary 25, 20184 updates tracked since enumeration
NPI 1992257109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WI · 2695
Definition
(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.
410 ROEDL CT, Beaver Dam, WI 53916

Other Providers at the Same Location NPPES 3

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

Occupational Therapist
410 ROEDL CT
BEAVER DAM, WI 53916
Physical Therapist
410 ROEDL CT
BEAVER DAM, WI 53916
Skilled Nursing Facility
410 ROEDL CT
BEAVER DAM, WI 53916

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 Dycora Transitional Health - Beaver Dam LLC's NPI number?

The NPI number for Dycora Transitional Health - Beaver Dam LLC is 1992257109. It was assigned to this organization in the NPPES registry on November 4, 2016.

Where is Dycora Transitional Health - Beaver Dam LLC located?

Dycora Transitional Health - Beaver Dam LLC is located at 410 Roedl Ct, Beaver Dam, WI 53916. The listed phone number is (920) 887-7191.

What is Dycora Transitional Health - Beaver Dam LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Dycora Transitional Health - Beaver Dam LLC was last updated on January 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.