United Care Homes of Wisconsin LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

UNITED CARE HOMES OF WISCONSIN LLC

Practice address

338 Municipal Dr
West Bend, WI 53095-3510

Phone

(262) 719-2270

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Glen Al Herman

Title

Administrator

Phone

(262) 719-2270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1790036739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 MUNICIPAL DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953510",
            "telephone_number": "262-719-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 MUNICIPAL DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953510",
            "telephone_number": "262-719-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CARE HOMES OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-719-2270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Turdo, OTR
• Brandi M Turner, CRNA
• Paul D Tyberg, DDS
• Tyler Home Care, LLC
• Matthew J Uecker, PT
• Emily Utic
• Travis H Vandebrown, MSW, LCSW, CSAC, ICS
• Deborah Lewis Vanderkinter, LPC, SAC
• Anne Vechinski, PHARMD
• Kaiea La'Iku Vera, ATC

• Intellectual Disabilities Intermediate Care Facility in West Bend, WI
• Providers in West Bend, WI by specialty
• Intellectual Disabilities Intermediate Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.