TREMPEALEAU COUNTY HEALTH CARE CENTER (NPI# 1518127000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518127000 |
| Entity Type | Organization |
| Organization Name | TREMPEALEAU COUNTY HEALTH CARE CENTER |
| Other Organization Name | CLOVER WAY |
| Practice Address |
36125 E End Rd Independence WI 54747-8080 |
| Mailing Address |
W20298 State Road 121 Whitehall WI 54773-9685 |
| Practice Telephone | 7159852270 |
| Practice Fax Number | 7159852318 |
| Mailing Telephone | 7515384312 |
| Mailing Fax Number | 7155382426 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | MR. PHILLIP JOHN BORRESON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7155384312 |
| Authorized Official Credential | NHA MS |
| Is Organization Subpart | Y |
| Parent Organization Name | TREMPEALEAU COUNTY HEALTH CARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
0012375 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ADULT FAMILY HOME | 0012375 | 01 |
| Other Name | Type Code |
|---|---|
| Clover Way | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710731 | Trempealeau County Health Care Center | Assisted Living Facility | W20298 State Road 121, Whitehall, WI 54773-9685 | 2016-06-08 |
| Street Address |
36125 E END RD |
| City | INDEPENDENCE |
| State | WI |
| Zip Code | 54747-8080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952541013 | County of Trempealeau | Assisted Living Facility | 36125 E End Rd, Independence, WI 54747-8080 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790817641 | County of Trempealeau | Custodial Care Facility | W21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1982736831 | County of Trempealeau | Custodial Care Facility | W 21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1184822710 | Sarah J Wruck | Dental Hygienist | 23140 Whitehall Road, Independence, WI 54747-0125 | 2007-07-05 |
| 1255660759 | Western Dairyland Eoc | Clinic/Center | 23140 Whitehall Rd, Independence, WI 54747-7702 | 2009-12-11 |
| 1356549422 | Western Dairyland Eoc, Inc. | Dental Hygienist | 23122 Whitehall Rd, Independence, WI 54747-7702 | 2007-07-10 |
| 1306899513 | County of Trempealeau | Custodial Care Facility | 23094 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-18 |
| 1548227770 | County of Trempealeau | Clinic/Center | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-01 |
| 1346794344 | Nicole Borreson | Counselor | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2016-08-08 |
| 1790929891 | Jody Erica Kroening | Registered Nurse | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2009-04-21 |
| 1619140233 | School District of Independence | Local Education Agency (LEA) | 23786 Indee Blvd, Independence, WI 54747-9095 | 2008-04-03 |
| Find all providers in zip 54747 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033374475 | Tlc Adult Care Inc. | Custodial Care Facility | 16801 E George Franklin Dr, Independence, MO 64055-3820 | 2008-07-24 |
| 1790817641 | County of Trempealeau | Custodial Care Facility | W21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1982736831 | County of Trempealeau | Custodial Care Facility | W 21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1306899513 | County of Trempealeau | Custodial Care Facility | 23094 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517475 | Estefania L Ocampo | Custodial Care Facility | 1512 S Union St, Milwaukee, WI 53204-2646 | 2020-08-08 |
| 1295353688 | Purposeful Living, LLC | Custodial Care Facility | 3928 W Galena St, Milwaukee, WI 53208-2340 | 2020-07-11 |
| 1750915575 | County of La Crosse | Custodial Care Facility | 856 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1649814526 | Hadassah Care Homes Inc. | Custodial Care Facility | 4822 N 47th St, Milwaukee, WI 53218-4414 | 2019-11-04 |
| 1043869316 | S&s House of Hope, LLC | Custodial Care Facility | 1664 Terry Dale Dr, West Bend, WI 53090-8934 | 2019-09-09 |
| 1508415894 | Our Home Sweet Home LLC | Custodial Care Facility | 4101 N Montreal St, Milwaukee, WI 53216-1740 | 2019-09-09 |
| 1912553363 | Lisa Bender | Custodial Care Facility | 3335 N 50th St, Milwaukee, WI 53216-3213 | 2019-08-12 |
| 1417512260 | Open With Arms, LLC | Custodial Care Facility | 3906 N Vel R Phillips Ave, Milwaukee, WI 53212-1114 | 2019-05-07 |
| 1013480094 | Warming Hands Residential Service, LLC | Custodial Care Facility | 575 Schiller St, Sun Prairie, WI 53590-2072 | 2019-01-02 |
| 1427533033 | Hughes N Hughes | Custodial Care Facility | 3700 N 60th St, Milwaukee, WI 53216-2131 | 2018-09-28 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 54747 |
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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.