HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY (NPI# 1780222083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780222083 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY |
| Practice Address |
1100 Lake View Dr Wausau WI 54403-6799 |
| Practice Telephone | 7158484600 |
| Practice Fax Number | 7158455398 |
| Mailing Telephone | 7158484600 |
| Mailing Fax Number | 7158455398 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | MICHAEL LOY (CEO) |
| Authorized Official Telephone | 7158484600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| North Central Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1689992786 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2010-05-13 |
| 1932221884 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2007-04-04 |
| 1316069263 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2007-04-04 |
| 1225150170 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 1225 Langlade Rd, Antigo, WI 54409-2762 | 2007-04-04 |
| 1134241086 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 607 N Sales St Ste 309, Merrill, WI 54452-1624 | 2007-04-04 |
| 1861514713 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2007-04-04 |
| 1770605628 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2007-04-04 |
| 1568570802 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
| 1205944543 | Human Services Board Serving North Central Health Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
| Street Address |
1100 LAKE VIEW DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-6799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609823509 | Barbara V Seiser | Nurse Practitioner | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-05-27 |
| 1457958449 | Chloe L Smith | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-10-03 |
| 1548867534 | Karly J Wisnosky | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-10-03 |
| 1073125282 | Lauren E Westermeier | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-08-19 |
| 1962011445 | Christina L Rivay | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-30 |
| 1356950851 | Holly J Jaecks | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-30 |
| 1376151035 | Francis S Stella | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-20 |
| 1851918569 | Heike I Szuszka | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-06-29 |
| 1316568561 | Sulayman Jobe | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-04-29 |
| 1912533225 | Rachel D Otto | Licensed Practical Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
| 1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
| 1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
| 1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
| 1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
| 1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
| 1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
| 1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
| 1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
| 1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
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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.