NPIMap

Organization Active NPI

Mjcare

  • Physical Disabilities Residential Treatment Facility
  • Iola, WI
National Provider Identifier
1326437294
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
2194-19 Issued in WI
Legal business name
MJCARE
Practice address
325 E. Iola St.
Iola, WI 54945
Phone
(715) 445-2412
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Amanda Beck
Title
Rehab Director
Phone
(715) 445-2412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 2194-19 WI
Physical Disabilities Residential Treatment Facility 320700000X 2194-19 WI Primary

Addresses

Primary practice location

325 E. Iola St.
Iola, WI 54945

Mailing address

325 E. Iola St.
Iola, WI 54945
Phone (715) 445-2412

National Provider Directory

National Provider Directory
Tax ID family
Mjcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1326437294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E. IOLA ST.",
            "city": "IOLA",
            "state": "WI",
            "postal_code": "54945",
            "telephone_number": "715-445-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E. IOLA ST.",
            "city": "IOLA",
            "state": "WI",
            "postal_code": "54945",
            "telephone_number": "715-445-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "REHAB DIRECTOR",
        "authorized_official_telephone_number": "715-445-2412"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "WI",
            "license": "2194-19",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "WI",
            "license": "2194-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.