COLONIAL CLUB INC. NPI 1033659669

NPI Information

  • NPI: 1033659669
  • Provider Name: COLONIAL CLUB, INC.
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 301 BLANKENHEIM LN
    SUN PRAIRIE, WI
    ZIP 53590
  • Phone: (608) 837-4611

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NPI Details

COLONIAL CLUB, INC. is a voluntary or charitable in Sun Prairie, WI. COLONIAL CLUB, INC. NPI is 1033659669. The provider is registered as an organization entity type.

The provider's business location address is:

301 BLANKENHEIM LN
SUN PRAIRIE, WI
ZIP 53590-373
Phone: (608) 837-4611
Fax: (608) 837-9302

The provider's authorized official is Melody Riedel .
The authorized official title is Executive Director and has the following contact phone number (608) 837-4611.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 4/17/2025.

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
1251V00000XVoluntary or Charitable265-800WISCONSINYes
2261QA0600XClinic/CenterAdult Day CareNo

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: 11/21/2025

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