HYLAND PARK COMMUNITY (NPI# 1447559364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447559364 |
| Entity Type | Organization |
| Organization Name | HYLAND PARK COMMUNITY |
| Practice Address |
5440 Caddis Bnd Fitchburg WI 53711-7105 |
| Practice Telephone | 6082709200 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | ANN SIMONSON (PROPERTY MANAGER) |
| Authorized Official Telephone | 6083181180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 0013255 | WI | Residential Treatment Facilities |
| Street Address |
5440 CADDIS BND |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786155 | Alexander Stanley | Physical Therapy Assistant | 5440 Caddis Bnd, Fitchburg, WI 53711-7105 | 2017-08-15 |
| 1871934802 | Courtney Hurd | Occupational Therapist | 5440 Caddis Bnd, Fitchburg, WI 53711-7105 | 2013-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003285545 | Veteran Homestead, Inc. | Residential Treatment Facility, Physical Disabilities | 69 High St, Fitchburg, MA 01420-7508 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518409465 | Star Dialysis LLC | Residential Treatment Facility, Physical Disabilities | 4145 Lake Meadow Dr, Racine, WI 53402-5321 | 2016-11-09 |
| 1679920649 | Tcby,llc | Residential Treatment Facility, Physical Disabilities | 528 Violet Ave, Hartford, WI 53027-1087 | 2016-05-19 |
| 1558715714 | Esh Enterprises LLC | Residential Treatment Facility, Physical Disabilities | 124 N Henry St, Edgerton, WI 53534-1868 | 2016-04-14 |
| 1942666763 | Oak Park Place of Baraboo, LLC | Residential Treatment Facility, Physical Disabilities | 800 Waldo St, Baraboo, WI 53913-2893 | 2016-01-08 |
| 1639552946 | Patricia Robinson | Residential Treatment Facility, Physical Disabilities | 408 W Keefe Ave, Milwaukee, WI 53212-1462 | 2015-07-06 |
| 1821493479 | Debra Ann Nelson | Residential Treatment Facility, Physical Disabilities | 2271 Pine Rd, Rudolph, WI 54475 | 2014-10-24 |
| 1356618672 | Bryant Homes, LLC. | Residential Treatment Facility, Physical Disabilities | 12501 W Needham Dr, New Berlin, WI 53151-1847 | 2011-12-01 |
| 1124273479 | Independent Lifestyles, Inc. | Residential Treatment Facility, Physical Disabilities | 4405 S Deerwood Dr, New Berlin, WI 53151-9240 | 2008-11-28 |
| 1265601389 | Hunters Haven of Kenosha, LLC | Residential Treatment Facility, Physical Disabilities | 5500 41st St, Kenosha, WI 53144-1839 | 2008-02-22 |
| 1790180677 | Premier Medical Staffing Services, LLC | Residential Treatment Facility, Physical Disabilities | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2014-11-04 |
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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.