NPIMap

Organization Active NPI

County of la Crosse

  • Mental Illness Intermediate Care Facility
  • La Crosse, WI
National Provider Identifier
1013678770
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
COUNTY OF LA CROSSE
Practice address
3501 Park Lane Dr
La Crosse, WI 54601-7747
Phone
(608) 789-4800
NPI assigned
Jan 5, 2022
Organization subpart
Yes
Parent organization
COUNTY OF LA CROSSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Marie Kramer, NHA
Title
Nursing Home Administrator
Phone
(608) 519-9357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

3501 Park Lane Dr
La Crosse, WI 54601-7747

Mailing address

3501 Park Lane Dr
La Crosse, WI 54601-7747
Phone (608) 789-4800

Other identifiers 1

IdentifierTypeStateIssuer
20128700MedicaidWI

Other names 1

  • Hillview State Only Nursing Home; The Oaks Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Health Center22 organizations share this tax ID, including this one
Part of
Lakeview Health Center

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1013678770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 PARK LANE DR",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017747",
            "telephone_number": "608-789-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 PARK LANE DR",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017747",
            "telephone_number": "608-789-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LA CROSSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LA CROSSE",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "608-519-9357",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20128700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillview State Only Nursing Home; The Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.