Hyland Park Community

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

0013255 Issued in WI

Legal business name

HYLAND PARK COMMUNITY

Practice address

5440 Caddis BND
Fitchburg, WI 53711-7105

Phone

(608) 270-9200

NPI assigned

Mar 17, 2011

Organization subpart

No

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

Authorized official

Name

Ann Simonson

Title

Property Manager

Phone

(608) 318-1180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1447559364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 CADDIS BND",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 CADDIS BND",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117105",
            "telephone_number": "608-270-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYLAND PARK COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PROPERTY MANAGER",
        "authorized_official_telephone_number": "608-318-1180"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "WI",
            "license": "0013255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Physical Disabilities Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.