Provider Demographics
NPI:1063418747
Name:NURSING HOMES INC.
Entity type:Organization
Organization Name:NURSING HOMES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:NACHREINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-643-3383
Mailing Address - Street 1:245 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:SAUK CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53583-1013
Mailing Address - Country:US
Mailing Address - Phone:608-643-3383
Mailing Address - Fax:608-643-2629
Practice Address - Street 1:245 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:SAUK CITY
Practice Address - State:WI
Practice Address - Zip Code:53583-1013
Practice Address - Country:US
Practice Address - Phone:608-643-3383
Practice Address - Fax:608-643-2629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2249314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI20148200Medicaid
WI20148200Medicaid