GRACE ADULT DAY SERVICES - ALTOONA (NPI# 1912156530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912156530 |
| Entity Type | Organization |
| Organization Name | GRACE ADULT DAY SERVICES - ALTOONA |
| Practice Address |
2441 New Pine Dr Altoona WI 54720-3300 |
| Mailing Address |
Po Box 287 Eau Claire WI 54702-0287 |
| Practice Telephone | 7158328811 |
| Practice Fax Number | 7158382424 |
| Mailing Telephone | 7158323003 |
| Mailing Fax Number | 7158323021 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | MR. MICHAEL CHRISTENSEN (EXECUTIVE DIRECTOR OF HEALTHCARE &) |
| Authorized Official Telephone | 7158323002 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRACE LUTHERAN FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
2441 NEW PINE DR |
| City | ALTOONA |
| State | WI |
| Zip Code | 54720-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
| Find all providers in zip 54720 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643699 | County of La Crosse | Custodial Care Facility | 994 Garland St E, West Salem, WI 54669 | 2020-03-04 |
| 1235763053 | County of La Crosse | Custodial Care Facility | 848 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1265066096 | County of La Crosse | Custodial Care Facility | 998 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1437409737 | Med Group Adult Day Care of Wi, LLC | Custodial Care Facility | 10549 W Forest Home Ave, Hales Corners, WI 53130-2057 | 2012-09-13 |
| 1164729877 | Licensed To Care | Custodial Care Facility | 5846 N 68th St, Milwaukee, WI 53218-1808 | 2011-02-15 |
| 1396994992 | Grace Adult Day Services - Chippewa Falls | Custodial Care Facility | 2050 County Highway I, Chippewa Falls, WI 54729-4416 | 2008-09-18 |
| 1194909341 | Benevolent Corporation Cedar Community | Custodial Care Facility | 113 Cedar Ridge Dr, West Bend, WI 53095-3654 | 2007-12-24 |
| 1295803971 | Health Managment Consortium | Custodial Care Facility | 1133 4th Ave S, Park Falls, WI 54552-1922 | 2006-12-01 |
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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.