1311 Tyler Street Operating Company, LLC
NPI 1336505791ActiveOrganization· Skilled Nursing Facility· Black River Falls, WI
Skilled Nursing Facility in Black River Falls, Wisconsin, registered in NPPES in January 2016. The authorized official on file is Kevin P. Breslin, Manager.
Overview
| NPI | 1336505791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2016 |
| Last updated in NPPES | Apr 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 3211 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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