STAIRGODDESS, LLC


Address: 10 E College Ave Ste 116ab, Appleton, WI 54911-5756
Phone: 9202054427

STAIRGODDESS, LLC (NPI# 1902380504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902380504
Entity Type Organization
Organization Name STAIRGODDESS, LLC
Practice Address 10 E College Ave Ste 116ab
Appleton
WI 54911-5756
Practice Telephone 9202054427
Practice Fax Number 9209549960
Mailing Telephone 9202054427
Mailing Fax Number 9209549960
Enumeration Date 2018-09-19
Last Update Date 2018-09-19
Authorized Official Name MR. DANIEL J HERRING (OWNER)
Authorized Official Telephone 9209546797
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171WH0202X Contractor
Specialization: Home Modifications
Other Service Providers

Office Location

Street Address 10 E COLLEGE AVE STE 116AB
City APPLETON
State WI
Zip Code 54911-5756

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1871086645 Megan Kilsdonk Health Educator 1604 N Meade St, Appleton, WI 54911 2018-06-07
1871085480 Tanya Lynn Vickery Social Worker 410 S. Elm St., Appleton, WI 54911 2018-05-31
1013407501 Teri G Metropulos Counselor 229 S. Morrison, Appleton, WI 54911 2018-05-10
1093211211 Bonnie Anne Korytkowski Student in an Organized Health Care Education/Training Program 229 S. Morrison Street, Appleton, WI 54911 2018-04-05
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Taxonomy Information

Taxonomy Code 171WH0202X
Grouping Other Service Providers
Classification Contractor
Specialization Home Modifications

Taxonomy Definition

Definition to come...

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Competitor

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City APPLETON
Zip Code 54911

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Dataset Information

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.

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