Menomonie Area Senior Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MENOMONIE AREA SENIOR CENTER

Practice address

1412 6TH Street East
Menomonie, WI 54751

Phone

(715) 235-0954

Fax

(715) 235-1346

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Shari Lee Homstad

Title

Assistant Director

Phone

(715) 235-0954

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1831859529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 6TH STREET EAST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "54751",
            "telephone_number": "715-235-0954",
            "fax_number": "715-235-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 6TH STREET EAST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "54751",
            "telephone_number": "715-235-0954",
            "fax_number": "715-235-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENOMONIE AREA SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "HOMSTAD",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "715-235-0954"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Marie McKee-Ghalib, RN
• Raemalee McMahon
• Paul D. McNally, D.O.
• Bharat Meenavalli, M.D.
• Kelley Rae Mendalski, M.S., LPC
• Menomonie CBRF, LLC
• Menomonie Chiropractic Center SC
• Menomonie Dental, LLC
• Menomonie Eye & Optical LLC
• Menomonie Rcac, LLC

• Adult Day Care Clinic/Center in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.