NPIMap

Organization Active NPI

Dolphin Manor Adult Day Program

  • Case Management Agency
  • Kansasville, WI
National Provider Identifier
1407229396
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DOLPHIN MANOR ADULT DAY PROGRAM
Practice address
21404 Washington Ave
Kansasville, WI 53139-9737
Phone
(262) 895-6666
Fax
(262) 895-7091
NPI assigned
Nov 2, 2015
Last updated
Nov 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Mrs. Melinda J Dolphin
Title
Administrator
Phone
(262) 895-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X WI Primary

Addresses

Primary practice location

21404 Washington Ave
Kansasville, WI 53139-9737

Mailing address

4525 Gunderson Rd
Waterford, WI 53185-3711
Phone (262) 895-6666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1407229396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 GUNDERSON RD",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531853711",
            "telephone_number": "262-895-6666",
            "fax_number": "262-895-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21404 WASHINGTON AVE",
            "city": "KANSASVILLE",
            "state": "WI",
            "postal_code": "531399737",
            "telephone_number": "262-895-6666",
            "fax_number": "262-895-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLPHIN MANOR ADULT DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "DOLPHIN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-895-6666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansasville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.