Active NPI
Care for All Ages
- Point of Service
- Green Bay, WI
National Provider Identifier
1992185631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 0015405
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.