Organization Active NPI

Health & Nutrition Service of Racine, Inc.

  • Case Management Agency
  • Racine, WI
National Provider Identifier
1508052085
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HEALTH & NUTRITION SERVICE OF RACINE, INC.
Practice address
2316 Rapids Dr
Racine, WI 53404-2011
Phone
(262) 637-7750
Fax
(262) 637-7926
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Margie Carrington, R.D.
Title
Executive Director
Phone
(262) 637-7750

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2316 Rapids Dr
Racine, WI 53404-2011

Mailing address

2316 Rapids Dr
Racine, WI 53404-2011
Phone (262) 637-7750

Other identifiers 2

IdentifierTypeStateIssuer
44010800MedicaidWI
41858300MedicaidWI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0697255Health & Nutrition Services of Racine Inc Wic2316 Rapids Drive, Racine, WI 53404Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2316 Rapids Dr
Racine, WI 53404
Phone (262) 637-7750

Practitioners & affiliated clinicians

Practitioners 1

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1508052085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 RAPIDS DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042011",
            "telephone_number": "262-637-7750",
            "fax_number": "262-637-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 RAPIDS DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042011",
            "telephone_number": "262-637-7750",
            "fax_number": "262-637-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & NUTRITION SERVICE OF RACINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "262-637-7750",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44010800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41858300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.