WILLOWGLEN HEIN FOSTER CARE GROUP HOME (NPI# 1457559262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457559262 |
| Entity Type | Organization |
| Organization Name | WILLOWGLEN HEIN FOSTER CARE GROUP HOME |
| Practice Address |
207 Hein Ave Plymouth WI 53073-2526 |
| Practice Telephone | 9208935132 |
| Mailing Telephone | 9208935132 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAYA SINGH (DIRECTOR RESIDENTIAL SERVICES) |
| Authorized Official Telephone | 4145276970 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1005423 | WI | Residential Treatment Facilities |
| Street Address |
207 HEIN AVE |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| 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 |
|---|---|---|---|---|
| 1033547500 | The Home for Little Wanderers | Residential Treatment Facility, Emotionally Disturbed Children | 910 Ship Pond Rd, Plymouth, MA 02360-1849 | 2013-10-21 |
| 1669670477 | Willowglen Academy-wisconsin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Reed St, Plymouth, WI 53073-2506 | 2007-07-03 |
| 1720354558 | John David Ryll | Residential Treatment Facility, Emotionally Disturbed Children | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2012-03-27 |
| 1700155058 | Bay State Community Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 475 State Rd, Plymouth, MA 02360-5185 | 2011-12-15 |
| 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 |
| 1134327943 | Bell Therapy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3018 S 9th St, Milwaukee, WI 53215-3944 | 2007-07-03 |
| 1093913709 | Bell Therapy-oklahoma Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 3245 S 24th St, Milwaukee, WI 53215-4414 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
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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.