Mahala's Hope, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MAHALA'S HOPE, INC.

Practice address

N4590 US Highway 45
Eden, WI 53019-1212

Phone

(920) 904-6445

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Kristine Adelle Mendoza

Title

Administrative Assistant

Phone

(920) 904-6445

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tierra Yonker

  • Addiction (Substance Use Disorder) Counselor
  • Eden, WI
  • NPI 1265107379
  NPD
• Jordan E. Cart, M.A.

  • Clinical Psychologist
  • Hinsdale, IL
  • NPI 1982189700
  NPD (past)

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1073151874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4590 US HIGHWAY 45",
            "city": "EDEN",
            "state": "WI",
            "postal_code": "530191212",
            "telephone_number": "920-904-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4590 US HIGHWAY 45",
            "city": "EDEN",
            "state": "WI",
            "postal_code": "530191212",
            "telephone_number": "920-904-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHALA'S HOPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "ADELLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "920-904-6445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha L Fasse, DVM
• Mary Clare McCutcheon, OTR, M.S.
• Mark A Thompson, DVM
• Melissa Lynn Toeller, RN
• Lauren Kathleen Wrobel, D.V. M.
• Tierra Yonker

• Substance Use Disorder Rehabilitation Clinic/Center in Eden, WI
• Providers in Eden, WI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.