MAHALA'S HOPE, INC. (NPI# 1073151874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073151874 |
Entity Type | Organization |
Organization Name | MAHALA'S HOPE, INC. |
Practice Address |
N4590 Us Highway 45 Eden WI 53019-1212 |
Practice Telephone | 9209046445 |
Mailing Telephone | 9209046445 |
Enumeration Date | 2019-12-12 |
Last Update Date | 2019-12-12 |
Authorized Official Name | MRS. KRISTINE ADELLE MENDOZA (ADMINISTRATIVE ASSISTANT) |
Authorized Official Telephone | 9209046445 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
N4590 US HIGHWAY 45 |
City | EDEN |
State | WI |
Zip Code | 53019-1212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124254768 | Trisha L Fasse | Veterinarian | N4415a Us Highway 45, Eden, WI 53019-1220 | 2009-06-10 |
1437462660 | Lauren Kathleen Wrobel | Veterinarian | N4415a Us Highway 45, Eden, WI 53019-1220 | 2010-07-16 |
1023244563 | Mark A Thompson | Veterinarian | N4415a Us Highway 45, Eden, WI 53019-1220 | 2009-06-10 |
1619067576 | Mary Clare Mccutcheon | Occupational Therapist | W3675 Sunny Rd, Eden, WI 53019-1259 | 2006-10-13 |
1366846537 | Melissa Lynn Toeller | Registered Nurse | W2637 Cty Rd B, Eden, WI 53019-1471 | 2014-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
1033720560 | Cara Danielle Skulski | Nurse Practitioner | 3028 Hillbrook Dr, Eden, NY 14057-1246 | 2020-08-10 |
1295352052 | Allison Petschul | Speech-Language Pathologist | 303 Maplewood Dr, Eden, NC 27288-5244 | 2020-06-28 |
1699395210 | Lauren Jayne Gugino | Student in an Organized Health Care Education/Training Program | 2939 E Pleasant Ave, Eden, NY 14057-1234 | 2020-04-23 |
1144856154 | Jennifer Dellapenta | Speech-Language Pathologist | 4071 Hardt Rd, Eden, NY 14057-9650 | 2020-03-21 |
1194350561 | Mindy Alicia Miller | Nurse Practitioner | 518 S Van Buren Rd Ste 7, Eden, NC 27288-5017 | 2020-03-06 |
1487284519 | Anna L. R. Finney | Behavior Technician | 3429 Residential Dr, Eden, MD 21822-2234 | 2020-01-16 |
1730728023 | Purpose In Grace Counseling, Pllc | Community/Behavioral Health | 718 Washington St, Eden, NC 27288-6029 | 2020-01-03 |
1346883295 | Tammy Lawson | Technician | 4134 Cooper Rd, Eden, MD 21822-2110 | 2019-10-23 |
Find all providers in EDEN |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
1952860181 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 6080 S 108th St Ste B, Hales Corners, WI 53130-2557 | 2019-03-18 |
1184182602 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 2997 Yarmouth Greenway Dr Ste 100, Fitchburg, WI 53711-5809 | 2019-03-04 |
1912464934 | The Ladders Recovery Community | Clinic/Center | 1331 Capitol Dr, Oconomowoc, WI 53066-5705 | 2019-02-26 |
1093215410 | Ray Services LLC | Clinic/Center | 147 W Ryan Rd, Oak Creek, WI 53154-4401 | 2018-02-13 |
1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
1245628817 | Forever Free Substance Abuse and Mental Heath Treament Center | Clinic/Center | 724 S Layton Blvd, Milwaukee, WI 53215-1224 | 2015-01-05 |
1669889283 | Roots Counseling Services, LLC | Clinic/Center | 1681 N Prospect Ave, Milwaukee, WI 53202-6720 | 2014-07-15 |
Find all providers with the same taxonomy |
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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.