UNITED CARE HOMES OF WISCONSIN LLC NPI 1790036739

NPI Information

NPI: 1790036739
Provider Name: UNITED CARE HOMES OF WISCONSIN LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
338 MUNICIPAL DR
WEST BEND, WI
ZIP 53095
Phone: (262) 719-2270
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UNITED CARE HOMES OF WISCONSIN LLC is an intermediate care facility mentally retarded in West Bend, WI. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. UNITED CARE HOMES OF WISCONSIN LLC NPI is 1790036739. The provider is registered as an organization entity type.

The provider's business location address is:

338 MUNICIPAL DR
WEST BEND, WI
ZIP 53095-510
Phone: (262) 719-2270

The provider's authorized official is Glen Al Herman .
The authorized official title is Administrator and has the following contact phone number (262) 719-2270.

The enumeration date for this NPI number is 10/1/2012 and was last updated on 10/1/2012.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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: 5/5/2024

NPI Synchronization or Removal

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