Methodist Manor, Inc. is a Skilled Nursing Facility based in West Allis, WI. Methodist Manor, Inc. practices in West Allis, WI. The NPI Number for Methodist Manor, Inc. is 1972571628 and holds a License No. 2300 (Wisconsin).
The current practice location address for Methodist Manor, Inc. is 3023 S 84Th St, West Allis, WI and can be reached out via phone at 414-607-4100 and via fax at 414-607-4502.
Location: 3023 S 84Th St, West Allis, WI, 53227-3703
Provider Profile Details
NPI Number
1972571628
Provider Name
Methodist Manor, Inc.
Credential
Provider Entity Type
Organization
Address
3023 S 84Th St, West Allis, WI, 53227-3703
Phone Number
414-607-4100
Fax Number
414-607-4502
Provider Enumeration Date
03/09/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2300 | 01 | WI | FACILITY LICENSE NUMBER |
| 20008100 | 05 | WI |
Provider Business Practice Location Address Details
Address
3023 S 84Th St
City
State
Zip
53227-3703
Phone Number
414-607-4100
Fax Number
414-607-4502
Provider Business Mailing Address Details
Address
3023 S 84Th St
City
State
Zip
53227-3703
Phone Number
414-607-4100
Fax Number
414-607-4502
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Chronic Disease Hospital
Speciality
-
Taxonomy
License No.
2300 (Wisconsin)
Definition
(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
License No.
2300 (Wisconsin)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
2300 (Wisconsin)
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.
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