Active NPI
Health & Nutrition Service of Racine, Inc.
- Case Management Agency
- Racine, WI
National Provider Identifier
1508052085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44010800 | Medicaid | WI | |
| 41858300 | Medicaid | WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0697255 | Health & Nutrition Services of Racine Inc Wic | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Dietitian
- Racine, WI
- NPI 1417158403
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.