Rascals Resort LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

RASCALS RESORT LLC

Practice address

29429 County Highway V
Kendall, WI 54638-8518

Phone

(608) 463-7377

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Missy Andrews

Title

Sole Board Member

Phone

(608) 548-5006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1013792597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W10000 STATE ROAD 82",
            "city": "ELROY",
            "state": "WI",
            "postal_code": "539299454",
            "telephone_number": "608-548-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29429 COUNTY HIGHWAY V",
            "city": "KENDALL",
            "state": "WI",
            "postal_code": "546388518",
            "telephone_number": "608-463-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Deerborn Ave",
            "address_purpose": "LOCATION",
            "city": "Friendship",
            "state": "WI",
            "postal_code": "539348830",
            "country_code": "US",
            "telephone_number": "608-339-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RASCALS RESORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MISSY",
        "authorized_official_title_or_position": "SOLE BOARD MEMBER",
        "authorized_official_telephone_number": "608-548-5006"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluff and Ridge Equine Assisted Therapies, Inc.
• Timothy Martin Drea, RN
• Alysa Colleen Eckelberg
• Kendall Area Ambulance Service
• Beth Kratky, CPM

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kendall, WI
• Providers in Kendall, WI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.