Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ccc of West Green Bay LLC

Organization Skilled Nursing Facility · NPI 1073099495

Ccc of West Green Bay LLC is a Skilled Nursing Facility in Green Bay, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1760 Shawano Ave
Green Bay, WI 54303-3216
Phone: (847) 983-4860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1073099495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Merzel — Cfo · (847) 983-4860
Other names Crossroads Care Center Of West Green Bay
NPI enumeratedJuly 18, 2018
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address8150 Central Park Ave, Skokie, IL 60076-2974

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