Individual provider Active NPI

James Michael Suchanek, EMT,PERSONALTRAINER

  • Assisted Living Facility
  • Black River Falls, WI
National Provider Identifier
1558294124
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0019840 Issued in WI
Practice address
313 W Jefferson St
Black River Falls, WI 54615-1063
Phone
(715) 670-0080
NPI assigned
Jun 4, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0019840 WI Primary

Addresses

Primary practice location

313 W Jefferson St
Black River Falls, WI 54615-1063

Mailing address

216 N 10TH St
Black River Falls, WI 54615-1148
Phone (715) 896-2877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
0019840WIMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest Hills LLC. Assisted Living Facility Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1558294124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N 10TH ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151148",
            "telephone_number": "715-896-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W JEFFERSON ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151063",
            "telephone_number": "715-670-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHANEK",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "EMT,PERSONALTRAINER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0019840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.