Robt E. Berry Halfway House Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROBT E. BERRY HALFWAY HOUSE INC.

Practice address

178 6TH St
Fond Du Lac, WI 54935-5174

Phone

(920) 886-3191

Fax

(920) 215-6365

NPI assigned

Jun 2, 2023

Last updated

Jun 2, 2023By 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

Tammy Walker

Title

Director

Phone

(920) 886-3191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1114611241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 6TH ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355174",
            "telephone_number": "920-886-3191",
            "fax_number": "920-215-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 6TH ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355174",
            "telephone_number": "920-886-3191",
            "fax_number": "920-215-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBT E. BERRY HALFWAY HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-886-3191"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Lee Robbins
• Ann Catherine Roberts, COTA
• Jennifer M Roberts, RN
• Stephen H Roberts, LCSW, CSAC
• Clifton A Robinson, M.D.
• Jeanette Roehl, APNP FNP
• Alan W Roetker, MD
• Elizabeth Scott Rogers-Doll, PHD
• Christine Rohr
• Linda Roos-Stutz

• Assisted Living Facility in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.