Active NPI
Oak Park Place of Baraboo, LLC
- Physical Disabilities Residential Treatment Facility
- Baraboo, WI
National Provider Identifier
1942666763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- Legal business name
- OAK PARK PLACE OF BARABOO, LLC
- Practice address
- 800 Waldo St
Baraboo, WI 53913-2893 - Phone
- (608) 355-4111
- NPI assigned
- Jan 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Frank
- Title
- Ceo
- Phone
- (608) 663-8728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Primary |
Addresses
Primary practice location
800 Waldo St
Baraboo, WI 53913-2893
Mailing address
719 Jupiter Dr
Madison, WI 53718-2984
Phone (608) 663-8600
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1097664 | Oak Park Place Baraboo | Certificate of waiver | Mar 31, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452211200000",
"number": "1942666763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 JUPITER DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537182984",
"telephone_number": "608-663-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WALDO ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539132893",
"telephone_number": "608-355-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK PARK PLACE OF BARABOO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-08",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "608-663-8728"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.