Organization Active NPI

Care for All Ages

  • Point of Service
  • Green Bay, WI
National Provider Identifier
1992185631
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
0015405 Issued in WI
Legal business name
CARE FOR ALL AGES
Practice address
1308 S Norwood Ave
Green Bay, WI 54304-1001
Phone
(920) 432-8119
Fax
(920) 432-0060
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Rachel Chvala
Title
Administrator
Phone
(920) 432-8119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 0015405 WI Primary

Addresses

Primary practice location

1308 S Norwood Ave
Green Bay, WI 54304-1001

Mailing address

1308 S Norwood Ave
Green Bay, WI 54304-1001
Phone (920) 432-8119

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1992185631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 S NORWOOD AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041001",
            "telephone_number": "920-432-8119",
            "fax_number": "920-432-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 S NORWOOD AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041001",
            "telephone_number": "920-432-8119",
            "fax_number": "920-432-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR ALL AGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "CHVALA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-432-8119"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WI",
            "license": "0015405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.