Organization
HOMESTEAD CARE CENTER LLC
Active
Other names
ATRIUM POST ACUTE CARE OF NEW HOLSTEIN
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M PARKINS (CFO)
(920) 364-9754
Entity
Organization
Contact information
Practice address
1712 MONROE ST, NEW HOLSTEIN, WI 53061-1307
(920) 898-4296
(920) 898-4931
Mailing address
1726 N BALLARD RD, APPLETON, WI 54911-2444
(920) 991-9072
(920) 749-4022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2366
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20199300
—
WI
Enumeration date
11/19/2007
Last updated
05/27/2015
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