Organization Active NPI

Hoplite, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Racine, WI
National Provider Identifier
1689890204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HOPLITE, INC.
Doing business as
Racine Residential Care
Practice address
1719 Washington Ave
Racine, WI 53403-2019
Phone
(262) 633-6348
Fax
(262) 633-4282
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Norman L Steffen, NHA
Title
Administrator
Phone
(262) 633-6348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1719 Washington Ave
Racine, WI 53403-2019

Mailing address

1719 Washington Ave
Racine, WI 53403-2019
Phone (262) 633-6348

Other identifiers 1

IdentifierTypeStateIssuer
20001500MedicaidWI

Other names 1

  • Racine Residential Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689890204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032019",
            "telephone_number": "262-633-6348",
            "fax_number": "262-633-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032019",
            "telephone_number": "262-633-6348",
            "fax_number": "262-633-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPLITE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-633-6348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20001500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Racine Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.