Provider Demographics
NPI:1679536197
Name:THE BOYLE COMPANY INC
Entity Type:Organization
Organization Name:THE BOYLE COMPANY INC
Other - Org Name:WAYNE CARE CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:DEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-217-6000
Mailing Address - Street 1:811 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-1216
Mailing Address - Country:US
Mailing Address - Phone:402-375-1922
Mailing Address - Fax:402-375-1923
Practice Address - Street 1:811 E 14TH ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-1216
Practice Address - Country:US
Practice Address - Phone:402-375-1922
Practice Address - Fax:402-375-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0804179Medicaid
IA0804179Medicaid
NE=========01Medicaid
IA0804179Medicaid