Organization Active NPI

Northwoods Inc of Wisconsin

  • Developmentally Disabled Services Day Training Agency
  • Portage, WI
National Provider Identifier
1245487065
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NORTHWOODS INC OF WISCONSIN
Practice address
N6510 US Highway 51
Portage, WI 53901-9603
Phone
(608) 742-7114
Fax
(608) 742-0636
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Mr. Jeffrey H Aerts
Title
President and Ceo
Phone
(608) 742-7114

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

N6510 US Highway 51
Portage, WI 53901-9603

Mailing address

N6510 US Highway 51
PO Box 357
Portage, WI 53901-9603
Phone (608) 742-7114

National Provider Directory

National Provider Directory

Locations

N6510 US Highway 51
Portage, WI 53901
Phone (608) 742-7114

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1245487065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6510 US HIGHWAY 51",
            "address_2": "PO BOX 357",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019603",
            "telephone_number": "608-742-7114",
            "fax_number": "608-742-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6510 US HIGHWAY 51",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019603",
            "telephone_number": "608-742-7114",
            "fax_number": "608-742-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS INC OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "AERTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "608-742-7114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.