Supportive Learning Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPPORTIVE LEARNING CARE

Practice address

N1886 Junction LN
Berlin, WI 54923-8922

Phone

(608) 359-5604

NPI assigned

Oct 2, 2013

Last updated

Nov 18, 2013By 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

Shannan Borchardt

Title

Ceo

Phone

(920) 789-0470

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Supportive Learning Care 2

  dba supportive learning care

  • In Home Supportive Care Agency
  • Oshkosh, WI
  • NPI 1598418493
  NPPES parent name

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1033546213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1886 JUNCTION LANE",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "54923",
            "telephone_number": "920-789-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1886 JUNCTION LN",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549238922",
            "telephone_number": "608-359-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE LEARNING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BORCHARDT",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-789-0470"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Daniel Statz
• Michael Stimac, PTA, LAT
• Emily M Strahota, PA-C
• Sue Stumpner
• Kenneth Sullivan, MD
• Tina Lorene Swanke, OTR
• Lisa Ann Taylor, PTA
• Alyssa Marie Tessaro, LAT
• Thedacare Medical Center - Berlin, Inc. (Juliette Manor)
• Thedacare Medical Center - Berlin, Inc. (ThedaCare Remote Dispensing Site-Berlin)

• Home Health Agency in Berlin, WI
• Providers in Berlin, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.