Active NPI
Ubah Rage
- Adult Care Home Facility
- Appleton, WI
National Provider Identifier
1366238339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 2633 W Capitol Dr
Appleton, WI 54914-6601 - Phone
- (608) 888-4853
- NPI assigned
- Apr 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | WI | Primary |
Addresses
Primary practice location
2633 W Capitol Dr
Appleton, WI 54914-6601
Mailing address
2633 W Capitol Dr
Appleton, WI 54914-6601
Phone (608) 888-4853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Centers LLC | Current | Accepting new patients |
Locations
1200 Centre Pointe Curv
Ste 250
Mendota Heights, MN 55120
Phone (651) 402-8028
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Mendota Heights, MN
- NPI 1710675277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1366238339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2633 W CAPITOL DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549146601",
"telephone_number": "608-888-4853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 W CAPITOL DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549146601",
"telephone_number": "608-888-4853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGE",
"first_name": "UBAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-16",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.