NPIMap

Organization Active NPI

County of la Crosse

Doing business as Maplewood

  • Custodial Care Facility
  • West Salem, WI
National Provider Identifier
1023643699
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
COUNTY OF LA CROSSE
Doing business as
Maplewood
Practice address
994 Garland St E
West Salem, WI 54669
Phone
(608) 786-1436
Fax
(608) 793-6696
NPI assigned
Mar 4, 2020
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LA CROSSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Wanda Plachecki
Title
Executive Director Long Term Care &
Phone
(608) 612-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X NU Primary

Addresses

Primary practice location

994 Garland St E
West Salem, WI 54669

Mailing address

962 Garland St E
West Salem, WI 54669
Phone (608) 786-1400

Other names 1

  • Maplewood Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2196251Maplewood994 Garland Street E, West Salem, WI 54669Certificate of waiverOct 14, 2026

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": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1023643699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 GARLAND ST E",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "54669",
            "telephone_number": "608-786-1400",
            "fax_number": "608-793-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 GARLAND ST E",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "54669",
            "telephone_number": "608-786-1436",
            "fax_number": "608-793-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LA CROSSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LA CROSSE",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "PLACHECKI",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR LONG TERM CARE &",
        "authorized_official_telephone_number": "608-612-0640"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.