Active NPI
Chippewa Valley Care Homes LLC
- Mental Illness Community Based Residential Treatment Facility
- Eau Claire, WI
National Provider Identifier
1043183155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- CHIPPEWA VALLEY CARE HOMES LLC
- Practice address
- 3319 Miller St
Eau Claire, WI 54701-7647 - Phone
- (612) 426-9947
- NPI assigned
- Sep 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kamal A Mohamed
- Title
- President
- Phone
- (612) 426-9947
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
3319 Miller St
Eau Claire, WI 54701-7647
Mailing address
3319 Miller St
Eau Claire, WI 54701-7647
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1043183155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 MILLER ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547017647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 MILLER ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547017647",
"telephone_number": "612-426-9947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIPPEWA VALLEY CARE HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "KAMAL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "612-426-9947",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
- Celine Paula Chedraoui, MD
- Rachel Philipps Chenoweth, APNP
- Mamta Sunil Chhabria, MD
- Children'S Service Society of Wisconsin
- Anusha Chintala, DMD
- Chippewa Valley Counseling Center, LLC
- Chippewa Valley Dental Health, LTD.
- Chippewa Valley Dental, LLC
- Chippewa Valley Emergency Care
- Chippewa Valley Endodontics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.