ST. CROIX VALLEY SHARED SERVICES, INC. (NPI# 1578774014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578774014 |
| Entity Type | Organization |
| Organization Name | ST. CROIX VALLEY SHARED SERVICES, INC. |
| Other Organization Name | ADORAY HOSPICE |
| Practice Address |
2231 Us Highway 12 Suite 201 Baldwin WI 54002-3269 |
| Practice Telephone | 7156845020 |
| Practice Fax Number | 7156884444 |
| Mailing Telephone | 7156845020 |
| Mailing Fax Number | 7156884444 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | MS. MARY TROFTGRUBEN (DIRECTOR PRESIDENT) |
| Authorized Official Telephone | 7156845020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 1521 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43186000 | 05 |
| Other Name | Type Code |
|---|---|
| ADORAY Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679094 | St. Croix Valley Shared Services, Inc. | Home Health | 2231 Us Highway 12, Ste 201, Baldwin, WI 54002-3269 | 2005-06-14 |
| Street Address |
2231 US HIGHWAY 12 SUITE 201 |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-3269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679094 | St. Croix Valley Shared Services, Inc. | Home Health | 2231 Us Highway 12, Ste 201, Baldwin, WI 54002-3269 | 2005-06-14 |
| 1265935506 | Shelley Borgeson | Speech-Language Pathologist | 2231 Us Highway 12, Baldwin, WI 54002-3269 | 2018-03-13 |
| 1538580675 | Gina Ann Thompson | Occupational Therapist | 2231 Us Highway 12, Baldwin, WI 54002-3269 | 2013-12-16 |
| 1083976625 | St Croix Valley Shared Services | Home Health | 2231 Us Highway 12, Baldwin, WI 54002-3269 | 2012-06-11 |
| 1295004240 | Diane D Jasperson | Physical Therapist | 2231 Us Highway 12, Suite 201, Baldwin, WI 54002-3269 | 2011-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317762 | Castle Senior Living, Inc | Hospice Care, Community Based | 13050 W Cleveland Ave, New Berlin, WI 53151-4013 | 2020-08-21 |
| 1982215307 | Moments Hospice of Appleton LLC | Hospice Care, Community Based | 806 Valley Rd Ste 1, Menasha, WI 54952-1120 | 2020-08-10 |
| 1992316319 | Moments Hospice of Madison LLC | Hospice Care, Community Based | 5315 Wall St Ste 135, Madison, WI 53718-7963 | 2020-08-10 |
| 1912531997 | Moments Hospice of Milwaukee | Hospice Care, Community Based | 1139 S Sunnyslope Dr Ste 200, Mt Pleasant, WI 53406-3998 | 2020-02-27 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1871052944 | Kenya Pratt | Hospice Care, Community Based | 5510 N 33rd St, Milwaukee, WI 53209-4834 | 2019-03-18 |
| 1518432749 | Brighton Hospice Wisconsin | Hospice Care, Community Based | 300 N Executive Dr Ste 110, Brookfield, WI 53005-6016 | 2018-10-03 |
| 1184136939 | Legacy Hospice Cares LLC | Hospice Care, Community Based | 850 Elm Grove Rd Ste 21, Elm Grove, WI 53122-2527 | 2017-11-02 |
| 1720523210 | Holistic Hospice Inc | Hospice Care, Community Based | 3422 W Howard Ave, Greenfield, WI 53221-1208 | 2016-12-20 |
| 1740722586 | Bani Inc | Hospice Care, Community Based | 7434 N Lannon Rd, Lannon, Lannon, WI 53046-9746 | 2016-11-10 |
| 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.