Provider Demographics
NPI:1982600854
Name:NAPOLEON CARE CENTER
Entity Type:Organization
Organization Name:NAPOLEON CARE CENTER
Other - Org Name:WENTZ LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:REGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-754-2381
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:ND
Mailing Address - Zip Code:58561-0090
Mailing Address - Country:US
Mailing Address - Phone:701-754-2381
Mailing Address - Fax:701-754-2384
Practice Address - Street 1:555 LAKE AVE E
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:ND
Practice Address - Zip Code:58561-1002
Practice Address - Country:US
Practice Address - Phone:701-754-2381
Practice Address - Fax:701-754-2384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND050 & AL49310400000X
ND1085A314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND30114Medicaid
ND355102Medicare ID - Type Unspecified