Park Place Adult Day Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PARK PLACE ADULT DAY SERVICES

Practice address

220 3Rd Ave S Ste 2
Wisconsin Rapids, WI 54495-2773

Phone

(715) 422-2795

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Audrey Bonney

Title

Accountant

Phone

(715) 422-2795

Specialties & licenses 1

Addresses

Other names 1

• PARK PLACE ADULT DAY SERVICES Doing business as

Locations

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1306404173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 3RD AVE S STE 2",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952773",
            "telephone_number": "715-422-2795",
            "fax_number": "715-422-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 3RD AVE S STE 2",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952773",
            "telephone_number": "715-422-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "BONNEY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "715-422-2795"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK PLACE ADULT DAY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Elizabeth Osowski, DPT
• Roger Dale Pagel, MSE, LCSW
• Victoria D Pahl, PA-C
• Ruta M Pakalns, MD
• Jennifer Paltz, MS, CCC-SLP
• Marissa Parks
• Parkwood Eyecare Associates, LLC
• Caitlin Parmeter, PA-C
• Richard J. Parolini
• Sarah Darlene Parsch, RN

• All providers in Wisconsin Rapids, WI
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.