Visions of New, LLC

Key facts

NPI

1891052148

Entity type

Organization (NPI type 2)

Primary specialty

In Home Supportive Care Agency 253Z00000X

Legal business name

VISIONS OF NEW, LLC

Practice address

5739 Duame Rd
Lena, WI 54139-9172

Phone

(920) 834-7770

Fax

(920) 834-6353

NPI assigned

Apr 11, 2012

Organization subpart

No

Authorized official

Name

Daniel D Schroeder

Title

Director of Operations

Phone

(920) 834-7770

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 11, 2012.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1891052148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541540966",
            "telephone_number": "920-834-7770",
            "fax_number": "920-834-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5739 DUAME RD",
            "city": "LENA",
            "state": "WI",
            "postal_code": "541399172",
            "telephone_number": "920-834-7770",
            "fax_number": "920-834-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS OF NEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "920-834-7770"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100013819",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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