Organization Active NPI

New Vision Wilderness

  • Respite Care Camp
  • Grafton, WI
National Provider Identifier
1639426091
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
Legal business name
NEW VISION WILDERNESS
Practice address
1350 14TH Ave
Suite 6
Grafton, WI 53024-1990
Phone
(262) 780-1780
Fax
(262) 780-1781
NPI assigned
Aug 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Amy Josi
Title
Business Manager
Phone
(262) 780-1780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X Primary

Addresses

Primary practice location

1350 14TH Ave
Suite 6
Grafton, WI 53024-1990

Mailing address

1350 14TH Ave
Suite 6
Grafton, WI 53024-1990
Phone (262) 780-1780

National Provider Directory

National Provider Directory

Locations

1350 14th Ave
Ste 6
Grafton, WI 53024
Phone (262) 780-1780

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1639426091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 14TH AVE",
            "address_2": "SUITE 6",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530241990",
            "telephone_number": "262-780-1780",
            "fax_number": "262-780-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 14TH AVE",
            "address_2": "SUITE 6",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530241990",
            "telephone_number": "262-780-1780",
            "fax_number": "262-780-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION WILDERNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-04",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "JOSI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "262-780-1780"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.