K BARE LLC (NPI# 1063991032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063991032 |
| Entity Type | Organization |
| Organization Name | K BARE LLC |
| Practice Address |
1031 S Main Street Jefferson WI 53549-1631 |
| Practice Telephone | 9205413677 |
| Practice Fax Number | 9205413678 |
| Mailing Telephone | 9205413677 |
| Mailing Fax Number | 9205413678 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | KARILIN ANN BARE (OWNER) |
| Authorized Official Telephone | 9205413677 |
| Authorized Official Credential | MS, LPC, CSAC, N |
| Is Organization Subpart | Y |
| Parent Organization Name | K BARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | WI | Agencies |
| Street Address |
1031 S MAIN STREET |
| City | JEFFERSON |
| State | WI |
| Zip Code | 53549-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
| 1023428083 | Mary Beth Breunig | Occupational Therapist | 206 South Taft Avenue, Jefferson, WI 53549 | 2014-04-30 |
| 1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
| 1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
| 1497960645 | Family Resources Associates Inc | Counselor | 248 S Wisconsin Drive, Jefferson, WI 53549 | 2007-05-11 |
| 1386707529 | Todd G Goldbeck | Physical Therapist | 1515 Highway 26 South, Jefferson, WI 53549 | 2006-12-19 |
| 1982780813 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Physical Therapist | 222 S Wisconsin Drive, Suite 3, Jefferson, WI 53549 | 2006-10-31 |
| 1033202528 | Marie Ann Maxwell-jones | Occupational Therapist | N3995 Annex Road, Jefferson, WI 53549 | 2006-10-02 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| Find all providers in zip 53549 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730557372 | Applied Wellness LLC | Community/Behavioral Health | 168 Waldoboro Rd, Jefferson, ME 04348-3922 | 2015-09-14 |
| 1487929188 | Lawson Support Services | Community/Behavioral Health | 626 Ashe Central School Rd, Suite A, Jefferson, NC 28640-8956 | 2012-03-13 |
| 1205112745 | Daymark Recovery Services Inc | Community/Behavioral Health | 162 Wm Jb Blevins Dr, Jefferson, NC 28640-9528 | 2011-10-28 |
| 1689731366 | New River Service Authority | Community/Behavioral Health | 162 Wm. Jb Blevins Road, Jefferson, NC 28640-9723 | 2007-01-02 |
| 1366502536 | New River Service Authority | Community/Behavioral Health | 221 West Main Street, Jefferson, NC 28640-9723 | 2006-12-11 |
| 1205219284 | Turning Point Services, Inc. | Community/Behavioral Health | 325 Court St, Jefferson, NC 28640-9696 | 2015-07-08 |
| 1265788541 | Lawson Support Services | Community/Behavioral Health | 626 Ashe Central School Rd, Suite B, Jefferson, NC 28640-8956 | 2012-07-24 |
| 1871860650 | Daymark Recovery .services Inc | Community/Behavioral Health | 221 W Main St, Jefferson, NC 28640-9723 | 2011-11-22 |
| 1679718324 | Capielano & Associates | Community/Behavioral Health | 4728 Jefferson Hwy, Jefferson, LA 70121-3125 | 2008-12-10 |
| 1689843831 | Jefferson County | Community/Behavioral Health | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2008-02-21 |
| Find all providers in JEFFERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.