NPIMap

Organization Active NPI

Holiday House of Manitowoc County, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Manitowoc, WI
National Provider Identifier
1477958510
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HOLIDAY HOUSE OF MANITOWOC COUNTY, INC.
Practice address
2818 Meadow LN
Manitowoc, WI 54220-3739
Phone
(920) 682-4663
Fax
(920) 682-1091
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Thomas E Keil
Title
Executive Director
Phone
(920) 682-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2818 Meadow LN
Manitowoc, WI 54220-3739

Mailing address

PO Box 579
Manitowoc, WI 54221-0579
Phone (920) 682-4663

National Provider Directory

National Provider Directory

Locations

2818 Meadow Ln
Manitowoc, WI 54220
Phone (920) 682-4663

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1477958510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542210579",
            "telephone_number": "920-682-4663",
            "fax_number": "920-682-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 MEADOW LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203739",
            "telephone_number": "920-682-4663",
            "fax_number": "920-682-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY HOUSE OF MANITOWOC COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "KEIL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-682-4663"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.