Evansville Manor Nursing and Rehab, LLC
NPI 1205311917ActiveOrganization· Skilled Nursing Facility· Evansville, WI
Skilled Nursing Facility in Evansville, Wisconsin, registered in NPPES in September 2018. The authorized official on file is Pamela Rice, Director Of Revenue. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1205311917 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2018 |
| Last updated in NPPES | Sep 16, 2020 |
| Certified by provider | Sep 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (WI) |
|---|
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