Active NPI
Karmenta Center, LLC
- Skilled Nursing Facility
- Madison, WI
National Provider Identifier
1386639458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3123
- Legal business name
- KARMENTA CENTER, LLC
- Practice address
- 4502 Milwaukee St
Madison, WI 53714-2133 - Phone
- (609) 249-2137
- Fax
- (859) 281-5150
- NPI assigned
- Sep 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglass B. Smith
- Title
- President
- Phone
- (615) 647-9004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3123 | WI | Primary |
Addresses
Primary practice location
4502 Milwaukee St
Madison, WI 53714-2133
Mailing address
110 Glancy St Ste 114
Goodlettsville, TN 37072-2314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20191800 | Medicaid | WI |
Other names 1
- Karmenta Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
110 Glancy St
Ste 114
Goodlettsville, TN 37072
Phone (615) 239-0440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539216000000",
"number": "1386639458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 GLANCY ST STE 114",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MILWAUKEE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537142133",
"telephone_number": "609-249-2137",
"fax_number": "859-281-5150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARMENTA CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-15",
"last_updated": "2018-10-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DOUGLASS",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-647-9004"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "3123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20191800",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Karmenta Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Karmenta Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.