Tenderheart Adult Family Home

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TENDERHEART ADULT FAMILY HOME

Practice address

361 Doty St
Montello, WI 53949-9327

Phone

(920) 948-3118

NPI assigned

Oct 3, 2024

Last updated

Nov 18, 2024By 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

Annette C Schlagenhaft, RNNPI 1912726225

Title

Registered Nurse

Phone

(920) 948-3118

Specialties & licenses 1

Addresses

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.

• Annette Schlagenhaft

  • Registered Nurse
  • Montello, WI
  • NPI 1912726225
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1811716244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 DOTY ST",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499327",
            "telephone_number": "920-948-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 DOTY ST",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499327",
            "telephone_number": "920-948-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERHEART ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "SCHLAGENHAFT",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "920-948-3118",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lee Smith, COTA
• St. Marys Dean Ventures Inc. (Davis Duehr Dean Montello)
• Traci Margene Stalker, COTA
• Clint Starks, SACIT, LPCIT
• Sunrise Point
• The Metta Homes LLC (Metta Homes and Transport)
• Jody Ann Triggs, OTR
• James A Webb, CSAC, ICS
• Stacy L. Webb, RN, CSAC, ICS
• Lexus Marie Weigand

• Clinic/Center in Montello, WI
• Providers in Montello, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.