Active NPI
Friends of Women in Recovery, Inc.
- Substance Abuse Rehabilitation Facility
- Fond Du Lac, WI
National Provider Identifier
1558798686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- FRIENDS OF WOMEN IN RECOVERY, INC.
- Practice address
- 166 S Park Ave
Fond Du Lac, WI 54935-4441 - Phone
- (920) 923-3999
- Fax
- (920) 923-3240
- NPI assigned
- Oct 3, 2013
- 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
- Tracy Schmit
- Title
- Operations Director
- Phone
- (920) 923-3999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
166 S Park Ave
Fond Du Lac, WI 54935-4441
Mailing address
PO Box 1524
Fond Du Lac, WI 54936-1524
Phone (920) 923-3999
Other names 1
- Beacon House
National Provider Directory
National Provider Directory- Tax ID family
- Beacon House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fond Du Lac, WI
- NPI 1932792900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613088000000",
"number": "1558798686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1524",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549361524",
"telephone_number": "920-923-3999",
"fax_number": "920-923-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 S PARK AVE",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354441",
"telephone_number": "920-923-3999",
"fax_number": "920-923-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDS OF WOMEN IN RECOVERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-03",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A",
"authorized_official_last_name": "SCHMIT",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "920-923-3999"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beacon House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beacon House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.