Ladysmith Adult Day Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LADYSMITH ADULT DAY SERVICES

Practice address

518 Lake Ave W
Ladysmith, WI 54848-1210

Phone

(715) 532-4000

Fax

(715) 609-1444

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Cherisma Peterson

Title

Owner/ Director

Phone

(715) 532-4000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1659856599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LAKE AVE W",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481210",
            "telephone_number": "715-532-4000",
            "fax_number": "715-609-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LAKE AVE W",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481210",
            "telephone_number": "715-532-4000",
            "fax_number": "715-609-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADYSMITH ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "CHERISMA",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "715-532-4000"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Jean Komro, APNP
• Erin S. Konichek, COTA
• Kendra Kopecky, PTA
• Michelle Marie Krell, RDH
• Carol Krupa, PA
• Ladysmith Foods Inc. (Flambeau Phamacy)
• Ladysmith Living Center, Inc
• Ladysmith Nursing Home Inc
• Ladysmith-Hawkins School District
• Karen Marie Lane

• Adult Day Care Clinic/Center in Ladysmith, WI
• Providers in Ladysmith, WI by specialty
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.