Organization Active NPI

Karmenta Center, LLC

  • Skilled Nursing Facility
  • Madison, WI
National Provider Identifier
1386639458
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3123 Issued in WI
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

Updated by the provider on Oct 11, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20191800MedicaidWI

Other names 1

  • Karmenta Center Doing business as

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.