CARLY BAKER (NPI# 1164739934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164739934 |
| Entity Type | Organization |
| Organization Name | CARLY BAKER |
| Practice Address |
146 E Tilson St. West Salem WI 54669-1213 |
| Mailing Address |
146 Tilson St E West Salem WI 54669-1213 |
| Practice Telephone | 6087922646 |
| Mailing Telephone | 6087922646 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | CARLY JEAN BAKER (LPN) |
| Authorized Official Telephone | 6087922646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
302971-031 | WI | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811191067 | Carly Baker | Social Worker | 50 Adams St, Newton, MA 02460-1461 | 2007-06-12 |
| Street Address |
146 E TILSON ST. |
| City | WEST SALEM |
| State | WI |
| Zip Code | 54669-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643699 | County of La Crosse | Custodial Care Facility | 994 Garland St E, West Salem, WI 54669 | 2020-03-04 |
| 1235763053 | County of La Crosse | Custodial Care Facility | 848 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1750915575 | County of La Crosse | Custodial Care Facility | 856 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1265066096 | County of La Crosse | Custodial Care Facility | 998 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1912470113 | Erin Gleason | Music Therapist | 806 N. Mill St., West Salem, WI 54669 | 2019-01-10 |
| 1124464854 | Andrea Jayne Hatleli | Contractor | 860 N. Mill St., Suite #2, West Salem, WI 54669 | 2013-05-21 |
| 1033424403 | Sara Smith | Dentist | 201 N Leonard St, Suite 101, West Salem, WI 54669 | 2010-08-10 |
| 1073839114 | Community Health Pharmacy LLC | Pharmacy | 880 N. Mill St., Suite 101, West Salem, WI 54669 | 2010-04-14 |
| 1255350542 | Kevin P Groth | Chiropractor | 1540 Heritage Blvd, Suite 203, West Salem, WI 54669 | 2006-07-18 |
| 1063024834 | Erin Shea Vanhandel | Speech-Language Pathologist | 713 Leonard St N, West Salem, WI 54669 | 2020-08-21 |
| Find all providers in zip 54669 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457983843 | Walker Family Daycare Inc | Respite Care | 1111 Industrial St, Reedsburg, WI 53959-2147 | 2020-02-04 |
| 1619527447 | Melissa Ann Damrell | Respite Care | 950 1st Ave, Cumberland, WI 54829-9550 | 2019-09-13 |
| 1831744689 | Adam Thomas Bever | Respite Care | 320 Mission Pl, Rice Lake, WI 54868-1923 | 2019-08-08 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1922311786 | We Care Wisconsin LLC | Respite Care | 4236 N Teutonia Ave, Milwaukee, WI 53209-6734 | 2010-07-22 |
| 1588898225 | Patrick Edward Swope | Respite Care | 1232 Zblewski Dr, Plover, WI 54467-2366 | 2009-05-10 |
| 1730332321 | 4u Adult Day Service, LLC | Respite Care | 2311 Post Rd, Plover, WI 54467-2972 | 2008-10-28 |
| City | WEST SALEM |
| Zip Code | 54669 |
Please comment or provide details below to improve the information on CARLY BAKER.
| 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.