Active NPI
Katrina Jablonski
- Adult Day Care Clinic/Center
- Jefferson, WI
National Provider Identifier
1770298366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 0019099
- Practice address
- 152 W Garland St
Jefferson, WI 53549-2029 - Phone
- (920) 541-3773
- NPI assigned
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 0019099 | WI | Primary |
Addresses
Primary practice location
152 W Garland St
Jefferson, WI 53549-2029
Mailing address
152 W Garland St
Jefferson, WI 53549-2029
Phone (920) 541-3773
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | truecomforthomecare@gmail.com | Direct | |
| CONNECT URL | truecomforthomecare@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019099 | WI | MD | Adult Day Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1770298366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 W GARLAND ST",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535492029",
"telephone_number": "920-541-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 W GARLAND ST",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535492029",
"telephone_number": "920-541-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKI",
"first_name": "KATRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "WI",
"license": "0019099",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "truecomforthomecare@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "152 W Garland St",
"city": "Jefferson",
"state": "WI",
"country_code": "US",
"postal_code": "535492029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "truecomforthomecare@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "152 W Garland St",
"city": "Jefferson",
"state": "WI",
"country_code": "US",
"postal_code": "535492029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jefferson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.