NPI
Edgewood Care Center Inc.
Doing business as Heritage Manor. NPI 1598766479
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-08-02
- Last updated
- 2012-04-20
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Specialties
Licenses
- License WI
- 2852
Location
- Practice location
- 307 Royall Ave
- City
- Elroy WI
- Postal code
- 53929-1044
- Phone
- (608) 462-8491
Organization contact
- Name
- Ellsworth Johnson
- Title
- CEO
- Phone
- (952) 929-2122
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Elroy, WI. 28 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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