Active NPI
The Extra Pass Mentoring, LLC
- Developmentally Disabled Services Day Training Agency
- Hobart, WI
National Provider Identifier
1275400368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- THE EXTRA PASS MENTORING, LLC
- Practice address
- 740 Centerline Dr
Hobart, WI 54155-9249 - Phone
- (920) 313-0209
- NPI assigned
- Oct 22, 2025
- Last updated
- Oct 22, 2025
- 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. Leslie Boyce
- Title
- Owner/Director
- Phone
- (920) 313-0209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
740 Centerline Dr
Hobart, WI 54155-9249
Mailing address
3021 E River Dr
Allouez, WI 54301-1405
Phone (920) 313-0209
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1275400368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 E RIVER DR",
"city": "ALLOUEZ",
"state": "WI",
"postal_code": "543011405",
"telephone_number": "920-313-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 CENTERLINE DR",
"city": "HOBART",
"state": "WI",
"postal_code": "541559249",
"telephone_number": "920-313-0209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EXTRA PASS MENTORING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-22",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "BOYCE",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "920-313-0209",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hobart, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.