Alicia's Place

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ALICIA'S PLACE

Practice address

605 S Forest Ave
Crandon, WI 54520-1703

Phone

(715) 902-0848

Fax

(262) 661-2206

NPI assigned

Apr 28, 2025

Last updated

Apr 28, 2025By 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

Ms. Kayla Charlene Van Cleve, RNNPI 1285447920

Title

Owner

Phone

(715) 902-0848

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kayla Charlene Van Cleve, RN

  • Adult Day Care Clinic/Center
  • Crandon, WI
  • NPI 1285447920
  NPD Authorized official

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1669260808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E GRANT ST",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201673",
            "telephone_number": "715-902-0848",
            "fax_number": "262-661-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S FOREST AVE",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201703",
            "telephone_number": "715-902-0848",
            "fax_number": "262-661-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "VAN CLEVE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-902-0848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizconsin Group Inc (Crandon Nursing Home)
• Coleen Asbach
• Abigail B Ashbeck, LCSW
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Crandon Clinic)
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Crandon Clinic)

• Adult Day Care Clinic/Center in Crandon, WI
• Providers in Crandon, 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 Apr 28, 2025; 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.