PRAIRIE VILLAGE NURSING AND REHAB CENTER – NPI #1669543286
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 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.

PRAIRIE VILLAGE NURSING AND REHAB CENTER is a skilled nursing facility (SNF) located in WASHINGTON, IN. NPPES has assigned the NPI number 1669543286 to PRAIRIE VILLAGE NURSING AND REHAB CENTER on November 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRAIRIE VILLAGE NURSING AND REHAB CENTER” is a dba name, the actual legal business name for this organization is PRAIRIE VILLAGE CARE, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 18 years ago on Apr 01, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRAIRIE VILLAGE NURSING AND REHAB CENTER below.

NPI Profile for
PRAIRIE VILLAGE CARE, LLC

NPI Number
1669543286
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRAIRIE VILLAGE CARE, LLC
Doing Business As (dba): PRAIRIE VILLAGE NURSING AND REHAB CENTER
Primary location
801 S STATE ROAD 57
WASHINGTON, IN 47501-4373
Phone: (812) 254-4516 Fax: (812) 254-4765
Mailing address
111 W MICHIGAN ST
MILWAUKEE, WI 53203-2903
Phone: (414) 908-8119 Fax: (414) 908-7105
Organization Subpart
No
Authorized Official
DONNA MAASSEN
DIRECTOR OF COMPLIANCE
Phone: (414) 908-8119
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.