NPIMap

Organization Active NPI

Bad River Social & Family Services

  • Case Management Agency
  • Odanah, WI
National Provider Identifier
1487913067
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BAD RIVER SOCIAL & FAMILY SERVICES
Practice address
72772 Elm Street
Odanah, WI 54861
Phone
(715) 682-7127
Fax
(715) 682-7883
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Esie Leoso
Title
Director
Phone
(715) 682-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

72772 Elm Street
Odanah, WI 54861

Mailing address

PO Box 55
Odanah, WI 54861-0055
Phone (715) 682-7127

National Provider Directory

National Provider Directory
Tax ID family
Bad River Band of Lake Superior Tribe of Chippewa Indains Wis8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1487913067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "ODANAH",
            "state": "WI",
            "postal_code": "548610055",
            "telephone_number": "715-682-7127",
            "fax_number": "715-682-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72772 ELM STREET",
            "city": "ODANAH",
            "state": "WI",
            "postal_code": "54861",
            "telephone_number": "715-682-7127",
            "fax_number": "715-682-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAD RIVER SOCIAL & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "LEOSO",
        "authorized_official_first_name": "ESIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-682-7127"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odanah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.