Provider Demographics
NPI:1457737736
Name:ANNA'S HEALTHCARE INC. STURGEON BAY
Entity Type:Organization
Organization Name:ANNA'S HEALTHCARE INC. STURGEON BAY
Other - Org Name:ANNA'S HEALTHCARE INC. NEW FRANKEN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BEGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:920-366-8856
Mailing Address - Street 1:839 S 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235-1557
Mailing Address - Country:US
Mailing Address - Phone:920-818-1200
Mailing Address - Fax:920-818-1201
Practice Address - Street 1:839 S 18TH AVE
Practice Address - Street 2:
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-1557
Practice Address - Country:US
Practice Address - Phone:920-818-1200
Practice Address - Fax:920-818-1201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNA'S HEALTHCARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0014311310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility