RAWHIDE INC. (NPI# 1841334620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841334620 |
| Entity Type | Organization |
| Organization Name | RAWHIDE INC. |
| Practice Address |
E7475 Rawhide Rd New London WI 54961-9025 |
| Practice Telephone | 9209826100 |
| Mailing Telephone | 9209826100 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | MR. JOHN SOLBERG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9205312500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 2750 | WI | Agencies |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
E7475 RAWHIDE RD |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961-9025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780943 | Jacqueline Paige Fiege | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-08-11 |
| 1023647849 | Kari Ann Smith | Social Worker | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-04-03 |
| 1730725938 | Candice Kreis | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-11-22 |
| 1942843172 | Sarah Ann Boyea | Social Worker | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-10-21 |
| 1740822055 | Lauren Mae Flunker | Social Worker | E7475 Rawhide Rd, New London, WI 54961 | 2019-10-09 |
| 1649820622 | Brittany Cook | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-09-12 |
| 1003388380 | Amanda Beth Martin | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2018-12-26 |
| 1619449063 | Carey Ann Molinski | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2018-12-26 |
| 1396255774 | Patti Wagner | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2017-10-11 |
| 1679083729 | Laura Selker | Marriage & Family Therapist | E7475 Rawhide Rd, New London, WI 54961-9025 | 2017-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406408 | Cheryl Schneider | Technician | L 56 Northgate Estates, New London, WI 54961 | 2019-09-12 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1659585172 | Amanda L. Beck | Physical Therapy Assistant | 400 E. 4th Street, Manawa, WI 54961 | 2007-05-10 |
| 1366599433 | Griebenow Eyecare, S.c. | Optometrist | 105 Northridge Drive, New London, WI 54961 | 2007-01-04 |
| 1063641249 | Forefront Dermatology, S.c. | Dermatology | 1620 N Shawano St, Suite C, New London, WI 54961 | 2009-07-08 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1194910489 | Laurie Mollenhauer | Physical Therapist | 1405 Mill St, New London, WI 54961 | 2007-09-10 |
| 1497837900 | Michael Reed | Nurse Anesthetist, Certified Registered | 1405 Mill St, New London, WI 54961 | 2006-10-20 |
| 1639282544 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 1420 Algoma St, New London, WI 54961 | 2006-08-16 |
| Find all providers in zip 54961 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764103 | Anders Developmental & Transition Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3359 N 25th St, Milwaukee, WI 53206-1237 | 2019-11-13 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1033417670 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 12603 224th Ave, Benet Lake, WI 53102-1000 | 2011-03-07 |
| 1366601718 | Mercy Assisted Care Inc | Residential Treatment Facility, Emotionally Disturbed Children | 20 E Court St, Janesville, WI 53545-3976 | 2008-06-02 |
| 1346415445 | Carmelite Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1214 Kavanaugh Pl, Wauwatosa, WI 53213-2506 | 2008-04-29 |
| 1861666943 | Tomorrow's Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | N3066 Tomorrow's Lane, Waupaca, WI 54981-0192 | 2008-04-18 |
| 1629261086 | Willowglen Academy - Howard | Residential Treatment Facility, Emotionally Disturbed Children | 3959 S 51st St, Milwaukee, WI 53220-2653 | 2007-08-20 |
| 1093908451 | Willowglen Academy - Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 3603 S Business Dr, Sheboygan, WI 53081-7096 | 2007-08-20 |
| 1669670477 | Willowglen Academy-wisconsin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Reed St, Plymouth, WI 53073-2506 | 2007-07-03 |
| 1457559262 | Willowglen Hein Foster Care Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 207 Hein Ave, Plymouth, WI 53073-2526 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
Please comment or provide details below to improve the information on RAWHIDE INC..
| 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.