COUNTY OF SHAWANO (NPI# 1831454370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831454370 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SHAWANO |
| Other Organization Name | SHAWANO COUNTY DEPT OF HUMAN SERVICES-LAKELAND CENTER PERSONAL CARE |
| Practice Address |
504 Lakeland Road Shawano WI 54166-3836 |
| Practice Telephone | 7155264700 |
| Practice Fax Number | 7155265542 |
| Mailing Telephone | 7155264700 |
| Mailing Fax Number | 7155265542 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | MR. RICHARD KANE (DIRECTOR) |
| Authorized Official Telephone | 7155264700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1831 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43106300 | 05 |
| Other Name | Type Code |
|---|---|
| SHAWANO COUNTY DEPT OF HUMAN SERVICES-LAKELAND CENTER PERSONAL CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174716385 | County of Shawano | Clinic/Center | 311 N Main St Rm 7, Shawano, WI 54166-2145 | 2007-08-21 |
| 1720088495 | County of Shawano | Intermediate Care Facility, Mentally Retarded | N4231 State Highway 22, Shawano, WI 54166-6130 | 2005-07-26 |
| 1407014020 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-05-30 |
| 1336307008 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-05-29 |
| 1750549432 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-05-29 |
| 1215195987 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-05-29 |
| 1558528729 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166 | 2008-05-16 |
| 1497896641 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166 | 2007-02-09 |
| 1124028519 | County of Shawano | Skilled Nursing Facility | N4231 State Highway 22, Shawano, WI 54166-6130 | 2005-07-28 |
| Street Address |
504 LAKELAND ROAD |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326227802 | Torri Jean Gillis | Social Worker | 504 Lakeland Road, Shawano, WI 54166-6832 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 1639779754 | Wisconsin Independent Living Solutions LLC | Home Health | 817 Colton St, Waukesha, WI 53186-5126 | 2020-10-28 |
| 1821698341 | Jaqualynne Postuchow | Home Health | 8739 Smith St, Sayner, WI 54560-9696 | 2020-10-26 |
| 1467068767 | Lashonda Nicole Simmons | Home Health | 24th Street, 1812 North, Milwaukee, WI 53205-1410 | 2020-09-22 |
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1699389593 | Infinity Care Services LLC | Home Health | 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 | 2020-09-08 |
| 1982218426 | Homecare Pal, LLC | Home Health | 2916 Marketplace Dr Ste 209, Fitchburg, WI 53719-5327 | 2020-09-02 |
| 1366053118 | Adron Health Care, LLC | Home Health | 9117 S 20th St, Oak Creek, WI 53154-7465 | 2020-08-14 |
| 1790396521 | Faithful Living Home Health Care Agency LLC | Home Health | 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 | 2020-08-14 |
| 1770194847 | Faithful Hands PCa LLC | Home Health | 8008 W Capitol Dr, Milwaukee, WI 53222-1918 | 2020-08-12 |
| 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.