Organization Active NPI

Rolling Hills Empowerment LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Knapp, WI
National Provider Identifier
1093531485
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROLLING HILLS EMPOWERMENT LLC
Practice address
E1475 790TH Ave
Knapp, WI 54749-9014
Phone
(715) 684-9848
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Josh Edhlund
Title
Owner
Phone
(715) 410-5679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

E1475 790TH Ave
Knapp, WI 54749-9014

Mailing address

E1475 790TH Ave
Knapp, WI 54749-9014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1093531485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E1475 790TH AVE",
            "city": "KNAPP",
            "state": "WI",
            "postal_code": "547499014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E1475 790TH AVE",
            "city": "KNAPP",
            "state": "WI",
            "postal_code": "547499014",
            "telephone_number": "715-684-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING HILLS EMPOWERMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "EDHLUND",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-410-5679"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knapp, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.