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Peshtigo Health Care, LLC

Skilled Nursing Facility in Peshtigo, WI · enumerated 2005 · authorized official Simone Miller, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023011939

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Registry record

Entity type Organization (Type 2)
Legal business name Peshtigo Health Care, LLC
Other name <Unavail>
Practice address 620 Harper Ave, Peshtigo, WI, 54157
Phone (715) 582-4148
Fax (715) 582-4756
Enumeration date May 24, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 2989 (WI) Primary

Authorized official

Name Simone Miller
Title Administrator
Phone (715) 582-4148

Other identifiers

Identifier Type State Issuer
20183500 Medicaid WI -
4113343 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Peshtigo Health Care, LLC?
NPPES lists Simone Miller (Administrator) as the authorized official for this organization.
What is the NPI number for Peshtigo Health Care, LLC?
The NPI for Peshtigo Health Care, LLC is 1023011939, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.