Organization Active NPI

The Ladders Recovery Community

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oconomowoc, WI
National Provider Identifier
1912464934
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THE LADDERS RECOVERY COMMUNITY
Practice address
1331 Capitol Dr
Oconomowoc, WI 53066-5705
Phone
(262) 290-1072
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Mr. Jacob Patrick Jansen
Title
Owner/Executive Director
Phone
(262) 290-1072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1331 Capitol Dr
Oconomowoc, WI 53066-5705

Mailing address

1331 Capitol Dr
Oconomowoc, WI 53066-5705
Phone (262) 290-1072

National Provider Directory

National Provider Directory

Locations

1331 Capitol Dr
Oconomowoc, WI 53066
Phone (262) 266-2143

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1912464934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 CAPITOL DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665705",
            "telephone_number": "262-290-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 CAPITOL DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665705",
            "telephone_number": "262-290-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LADDERS RECOVERY COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "262-290-1072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.