Americanway of Madison LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

0012791 Issued in WI

Legal business name

AMERICANWAY OF MADISON LLC

Practice address

734 Mesta LN
Madison, WI 53704-7843

Phone

(608) 246-0409

Fax

(608) 246-9020

NPI assigned

May 19, 2010

Last updated

May 19, 2010By 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

Ms. Janis Deets Nowak

Title

President

Phone

(608) 566-1500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1922327634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E ALBERT ST",
            "address_2": "SUITE 3",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011463",
            "telephone_number": "608-566-1500",
            "fax_number": "608-566-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 MESTA LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537047843",
            "telephone_number": "608-246-0409",
            "fax_number": "608-246-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICANWAY OF MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "DEETS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-566-1500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "WI",
            "license": "0012791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Madison, WI
• Providers in Madison, WI by specialty
• Assisted Living Facility (Mental Illness) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.