NPIMap

Organization Active NPI

Racine County Opportunity Center, Inc.

  • Voluntary or Charitable Agency
  • Racine, WI
National Provider Identifier
1346380755
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
RACINE COUNTY OPPORTUNITY CENTER, INC.
Practice address
4214 Sheridan Rd
Racine, WI 53403-4142
Phone
(262) 554-6515
NPI assigned
Feb 7, 2007
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Sheryl Ann HamiltonNPI 1033252366
Title
Executive Director
Phone
(262) 554-6515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

4214 Sheridan Rd
Racine, WI 53403-4142

Mailing address

4214 Sheridan Rd
Racine, WI 53403-4142

Other identifiers 1

IdentifierTypeStateIssuer
41200700MedicaidWI

National Provider Directory

National Provider Directory

Locations

4214 Sheridan Rd
Mount Pleasant, WI 53403
Phone (262) 554-5006

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1346380755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 SHERIDAN RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534034142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 SHERIDAN RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534034142",
            "telephone_number": "262-554-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACINE COUNTY OPPORTUNITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "262-554-6515"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41200700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.