NPIMap

County of Shawano

Organization Active NPI Home Health Agency · Shawano, WI

NPI 1831454370 · NPPES record last updated Jan 23, 2015

Key facts

NPI
1831454370
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
1831 (WI)
Legal business name
COUNTY OF SHAWANO
Practice address
504 Lakeland Road
Shawano, WI 54166-3836
Phone
(715) 526-4700
Fax
(715) 526-5542
NPI assigned
Jul 11, 2012
Organization subpart
No

Authorized official

Name
Mr. Richard Kane
Title
Director
Phone
(715) 526-4700

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Shawano County Pub HLTH (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1831 WI Yes

Addresses

Primary practice location

504 Lakeland Road
Shawano, WI 54166-3836

Mailing address

504 Lakeland Road
Shawano, WI 54166-3836
Phone (715) 526-4700

Other identifiers

IdentifierTypeStateIssuer
43106300MedicaidWI

Other names

  • SHAWANO COUNTY DEPT OF HUMAN SERVICES-LAKELAND CENTER PERSONAL CARE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 23, 2015.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1831454370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LAKELAND ROAD",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663836",
            "telephone_number": "715-526-4700",
            "fax_number": "715-526-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LAKELAND ROAD",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663836",
            "telephone_number": "715-526-4700",
            "fax_number": "715-526-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHAWANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-526-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "1831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43106300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAWANO COUNTY DEPT OF HUMAN SERVICES-LAKELAND CENTER PERSONAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawano, WI

All providers in Shawano, WI · Home Health Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.