Active NPI
Balance, Inc.
- Developmentally Disabled Services Day Training Agency
- Saukville, WI
National Provider Identifier
1225284961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BALANCE, INC.
- Practice address
- 134 S Foster Dr
Saukville, WI 53080-2005 - Phone
- (262) 268-6811
- NPI assigned
- Aug 13, 2008
- Last updated
- Apr 1, 2010
- 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. Craig R. Modahl, CISW
- Title
- Executive Director
- Phone
- (262) 268-6811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary |
Addresses
Primary practice location
134 S Foster Dr
Saukville, WI 53080-2005
Mailing address
134 S Foster Dr
Saukville, WI 53080-2005
Phone (262) 268-6811
National Provider Directory
National Provider DirectoryLocations
134 S Foster Dr
Saukville, WI 53080
Phone (262) 268-6811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1225284961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 S FOSTER DR",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530802005",
"telephone_number": "262-268-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 S FOSTER DR",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530802005",
"telephone_number": "262-268-6811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "MODAHL",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "262-268-6811",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CISW"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saukville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.