Organization Active NPI

Mendota Management Company, LLC.

  • Adult Care Home Facility
  • Lodi, WI
National Provider Identifier
1760333520
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MENDOTA MANAGEMENT COMPANY, LLC.
Practice address
115 Strangeway Ave
Lodi, WI 53555-1307
Phone
(608) 219-4080
NPI assigned
Feb 6, 2026
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Peter Ouchakof
Title
Owner
Phone
(608) 219-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

115 Strangeway Ave
Lodi, WI 53555-1307

Mailing address

115 Strangeway Ave
Lodi, WI 53555-1307

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1760333520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 STRANGEWAY AVE",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STRANGEWAY AVE",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551307",
            "telephone_number": "608-219-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOTA MANAGEMENT COMPANY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "OUCHAKOF",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-219-4080"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.