THEDACARE INCORPORATED NPI 1881787380

NPI Information

NPI: 1881787380
Provider Name: THEDACARE, INCORPORATED
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3000 E COLLEGE AVE
SUITE A
APPLETON, WI
ZIP 54915
Phone: (920) 969-0919
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THEDACARE, INCORPORATED is a hospice care community based in Appleton, WI. THEDACARE, INCORPORATED NPI is 1881787380. The provider is registered as an organization entity type.

The provider's business location address is:

3000 E COLLEGE AVE
SUITE A
APPLETON, WI
ZIP 54915
Phone: (920) 969-0919
Fax: (920) 730-3433

The provider's authorized official is William Flett .
The authorized official title is Cfo and has the following contact phone number (920) 454-4013.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		1504	WISCONSIN	No
2	251G00000X	Hospice Care, Community Based			WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43187600	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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