St. Coletta of Wisconsin, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ST. COLETTA OF WISCONSIN, INC.

Practice address

N4637 County Road Y
Jefferson, WI 53549-9720

Phone

(920) 674-4330

Fax

(920) 674-8422

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Robert Arthur Schmidt, MBA

Title

Director of Day Programs & Services

Phone

(920) 674-8219

Specialties & licenses 4

Addresses

Tax ID family

St Coletta of Wisconsin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Coletta of Wisconsin

  • Intellectual Disabilities Intermediate Care Facility
  • Jefferson, WI
  • NPI 1871714543
  NPD tax ID

Locations

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1295113587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4637 COUNTY ROAD Y",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499720",
            "telephone_number": "920-674-4330",
            "fax_number": "920-674-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4637 COUNTY ROAD Y",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499720",
            "telephone_number": "920-674-4330",
            "fax_number": "920-674-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. COLETTA OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DIRECTOR OF DAY PROGRAMS & SERVICES",
        "authorized_official_telephone_number": "920-674-8219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "PROVISIONAL CERTIFIC",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "199800003C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rae Sims
• Lindsey Leigh Slatter
• Renee Spitzer, PHARMD
• Sport & Spine Clinic of Fort Atkinson Limited Partnership
• St. Coletta of Wisconsin
• St. Marys Dean Ventures Inc.
• Sarah Emily Stewart, APNP
• Kathryn Marie Stingl, LCPC, CRC
• Andrea Marian Stotesbery
• Kenneth William Strege, PEER SUPPORT

• Adult Day Care Clinic/Center in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.