LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. (NPI# 1013082577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013082577 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. |
| Other Organization Name | LSS NEILLSVILLE |
| Practice Address |
16 Boon Blvd Neillsville WI 54456-2176 |
| Practice Telephone | 7157438050 |
| Mailing Telephone | 7157438050 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL HAROLD GUNS (VICE PRESIDENT FINANCE, CFO) |
| Authorized Official Telephone | 4143253010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| X | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43017700 | 05 |
| Other Name | Type Code |
|---|---|
| LSS Neillsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154663375 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 1850 Cranston Rd, Beloit, WI 53511-2544 | 2013-03-26 |
| 1386969723 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 127 W Central St, Chippewa Falls, WI 54729-2346 | 2010-03-29 |
| 1659446672 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 306 S Barstow St, Eau Claire, WI 54701-3678 | 2006-11-22 |
| 1952476426 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 320 Dvorak Ct, Stoughton, WI 53589-5480 | 2006-11-21 |
| 1437224961 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 1002 Motor Ave, Waukesha, WI 53188-4955 | 2006-11-21 |
| 1528133071 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 325 Sentinel Dr, Waukesha, WI 53189-7551 | 2006-11-21 |
| 1326113887 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | W18105 Hemlock Rd, Wittenberg, WI 54499-8647 | 2006-11-21 |
| 1033284740 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 3042 Kilbourne Ave, Eau Claire, WI 54703-0943 | 2006-11-21 |
| 1730253758 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Public Health or Welfare | 6737 W Washington St Ste 2275, West Allis, WI 53214-5666 | 2006-11-20 |
| 1992216782 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Case Management | 6737 W Washington St Ste 2275, West Allis, WI 53214 | 2017-10-19 |
| Street Address |
16 BOON BLVD |
| City | NEILLSVILLE |
| State | WI |
| Zip Code | 54456-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912052333 | Erin Kaye Drawz | Counselor | 16 Boon Blvd, Neillsville, WI 54456-2176 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504840 | Wendy Langreck | Physical Therapy Assistant | N4036 Marg Ave, Neillsville, WI 54456 | 2017-05-08 |
| 1023442084 | Kayla E Martin | Physical Therapist | Marshfield Medical Center- Neillsville, 216 Sunset Place, Neillsville, WI 54456 | 2013-08-27 |
| 1942553136 | Nicole Renee Symons | Occupational Therapy Assistant | 316 Sunset Pl, Neillsville, WI 54456 | 2012-10-25 |
| 1679883433 | Sandra Lee Back | Registered Nurse | 1402 Hewett St, Neillsville, WI 54456 | 2010-10-14 |
| 1497967301 | Abby Vans Inc. | Non-emergency Medical Transport (VAN) | W5621 Todd Road, Neillsville, WI 54456 | 2007-05-04 |
| 1487637823 | Linda L Kyser | Dietitian, Registered | 216 Sunset Place, Memorial Medical Center Memorial Hospital Inc, Nellsville, WI 54456 | 2005-11-21 |
| 1013017938 | Louis A Benoist | Orthopaedic Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-09-22 |
| 1114955275 | Constante S. Avecilla | Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-06-29 |
| 1992780464 | Memorial Hospital, Inc. | Skilled Nursing Facility | 216 Sunset Place, Memorial Medical Center Health & Rehabilitation, Neillsville, WI 54456 | 2005-12-07 |
| 1295877363 | John Scaletta D.d.s.ltd. | Dentist | 808 West Fifth St., Neillsville, WI 54456-0067 | 2007-02-13 |
| Find all providers in zip 54456 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764103 | Anders Developmental & Transition Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3359 N 25th St, Milwaukee, WI 53206-1237 | 2019-11-13 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1033417670 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 12603 224th Ave, Benet Lake, WI 53102-1000 | 2011-03-07 |
| 1366601718 | Mercy Assisted Care Inc | Residential Treatment Facility, Emotionally Disturbed Children | 20 E Court St, Janesville, WI 53545-3976 | 2008-06-02 |
| 1346415445 | Carmelite Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1214 Kavanaugh Pl, Wauwatosa, WI 53213-2506 | 2008-04-29 |
| 1861666943 | Tomorrow's Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | N3066 Tomorrow's Lane, Waupaca, WI 54981-0192 | 2008-04-18 |
| 1629261086 | Willowglen Academy - Howard | Residential Treatment Facility, Emotionally Disturbed Children | 3959 S 51st St, Milwaukee, WI 53220-2653 | 2007-08-20 |
| 1093908451 | Willowglen Academy - Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 3603 S Business Dr, Sheboygan, WI 53081-7096 | 2007-08-20 |
| 1669670477 | Willowglen Academy-wisconsin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Reed St, Plymouth, WI 53073-2506 | 2007-07-03 |
| 1457559262 | Willowglen Hein Foster Care Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 207 Hein Ave, Plymouth, WI 53073-2526 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
| City | NEILLSVILLE |
| Zip Code | 54456 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.