EDGEWATER HAVEN NURSING HOME
NPI 1013915339
Skilled Nursing Facility in Port Edwards,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 11, 2005

Contact Information

1351 Wisconsin River Dr
Port Edwards,
Post Code: 54469
Phone: (715) 885-8300
Fax: (715) 885-8351

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Edgewater Haven Nursing Home in Port Edwards - Skilled Nursing Facility

Edgewater Haven Nursing Home is a Skilled Nursing Facility in Port Edwards, . Edgewater Haven Nursing Home practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Edgewater Haven Nursing Home is 1013915339. The last update date is 2022-09-09.

Edgewater Haven Nursing Home's current location address is 1351 Wisconsin River Dr, Port Edwards, . You can contact this provider via phone number (715) 885-8300 and fax number (715) 885-8351. The mailing address for Edgewater Haven Nursing Home is 1351 Wisconsin River Dr, Port Edwards, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013915339
Provider Legal Name
COUNTY OF WOOD
Other Organization Name
EDGEWATER HAVEN NURSING HOME
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1351 Wisconsin River Dr, Port Edwards,
Location Phone
(715) 885-8300
Location Fax
(715) 885-8351
Mailing Address
1351 Wisconsin River Dr, Port Edwards, Wisconsin(WI)
Mailing Phone
715-885-8300
Mailing Fax
715-885-8351
Enumeration Date
2005-07-11
Last Update Date
2022-09-09
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
2369
License State
Wisconsin (WI)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
20131100 MEDICAID (05) Wisconsin (WI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013915339
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231811036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20231811036
2 + 0 + 2 + 3 + 1 + 8 + 1 + 1 + 0 + 3 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9 9

The NPI number 1013915339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910785 WILLIAM J DIERBERG
Individual
Plastic Surgery 2605 DEVELOPMENT DR
GREEN BAY, Wisconsin (WI)
920-288-8240
1013910645 ROLF F. POSER
Individual
Internal Medicine, Cardiovascular Disease 635 PARK AVE.
COLUMBUS, Wisconsin (WI)
920-623-5000
1003819616 TROUSDALE FOUNDATION, INC BENCHMARK HEALTHCARE OF DANE COUNTY
HEARTLAND COUNTRY VILLAGE
Organization
Skilled Nursing Facility 634 CENTER ST
BLACK EARTH, Wisconsin (WI)
608-767-2572
1003819475 FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
FROEDTERT BLUEMOUND REHABILITATION HOSPITAL
Organization
Rehabilitation Unit 10000 W BLUEMOUND RD
WAUWATOSA, Wisconsin (WI)
414-454-8000
1003819491 COUNTY OF PORTAGE
PORTAGE COUNTY HEALTH CARE CENTER
Organization
Skilled Nursing Facility 825 WHITING AVE
STEVENS POINT, Wisconsin (WI)
715-346-1375