Midway Manor Corp.
Midway Manor Corp. is a healthcare organization registered as Skilled Nursing Facility in Kenosha, WI, holding Type 2 (organization) NPI 1801006978 since 2007. The authorized official on file is David Egan, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801006978 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Midway Manor Corp. |
| Other name | <Unavail> |
| Practice address | 1519 60TH ST, Kenosha, WI, 53140 |
| Phone | 2626567500 |
| Enumeration date | 2007-05-23 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | David Egan |
|---|---|
| Title | Administrator |
| Phone | 2626567500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 2823 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20117200 | Medicaid | WI | — |
Copy-ready billing details
Provider: Midway Manor Corp. NPI: 1801006978 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1519 60TH ST, Kenosha, WI, 53140
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073839056 | Jacelyn Marciniak | Individual | Physical Therapy Assistant | Kenosha, WI |
| 1295039311 | Heather Berglund | Individual | Occupational Therapist | Kenosha, WI |
| 1952740144 | Gail Treffinger | Individual | Occupational Therapist | Kenosha, WI |
Verify this record
Cross-check NPI 1801006978 against the authoritative CMS record: view Midway Manor Corp. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Midway Manor Corp.?
Who is the authorized official for Midway Manor Corp.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.