UNITED CHURCH CAMPS, INC. (NPI# 1528547973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528547973 |
| Entity Type | Organization |
| Organization Name | UNITED CHURCH CAMPS, INC. |
| Other Organization Name | PILGRIM CENTER |
| Practice Address |
1487 Moon Beach Ln Saint Germain WI 54558-9259 |
| Practice Telephone | 7154798255 |
| Mailing Telephone | 7154798255 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | ERIC OLSEN (MANAGING DIRECTOR) |
| Authorized Official Telephone | 7154798255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2050X |
Respite Care Specialization: Respite Care Camp |
Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Camp AweSum | Doing Business As Name - Organization |
| Moon Beach | Doing Business As Name - Organization |
| Moon Beach/Camp AweSum | Doing Business As Name - Organization |
| Pilgrim Center | Doing Business As Name - Organization |
| Street Address |
1487 MOON BEACH LN |
| City | SAINT GERMAIN |
| State | WI |
| Zip Code | 54558-9259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033604061 | Town of St. Germain | Ambulance | 553 State Highway 155, St. Germain, WI 54558 | 2018-06-22 |
| 1730207879 | Newcap, Inc. | Clinic/Center | 226 Highway 70 E, St. Germain, WI 54558 | 2007-03-27 |
| 1932161395 | Kayla Marie Mcfadden | Registered Nurse | 215 Sunset Blvd, St.germaine, WV 54558 | 2006-04-03 |
| 1225272917 | Gina Marie Schmolze | Licensed Practical Nurse | 1567 Golden Retreat Dr, Saint Germain, WI 54558-0097 | 2009-04-24 |
| 1740421668 | Adam C Schenkenberg | Licensed Practical Nurse | 1634 Bigwoods Dr, Saint Germain, WI 54558-0271 | 2009-03-24 |
| 1013090885 | William Gunther Mallon | Nurse Anesthetist, Certified Registered | 2149 Found Lake Rd. Box 625, Saint Germain, WI 54558-0625 | 2006-10-23 |
| 1063577666 | Stephen Joseph Borak | Chiropractor | 190 Highway 70, Saint Germain, WI 54558-0665 | 2006-12-26 |
| 1659656619 | Craig Richard Smith | Pharmacist | 7844 Grimes Pine Ln, Saint Germain, WI 54558-8735 | 2011-10-20 |
| 1215444260 | New Horizons Counseling and Family Services, LLC | Social Worker | 306 Highway 70 E, Saint Germain, WI 54558-8800 | 2017-12-29 |
| 1003140609 | Frank Charles Patin | Counselor | 306 Hwy 70 E, Saint Germain, WI 54558-8800 | 2009-09-29 |
| Find all providers in zip 54558 | ||||
| Taxonomy Code | 385HR2050X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care Camp |
| A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, mental retardation, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321255 | Lutherdale Bible Camp, Inc. | Respite Care | N7891 Us Highway 12, Elkhorn, WI 53121-2465 | 2019-11-20 |
| 1427692870 | Aldo Leopold Nature Center, Inc. | Respite Care | 330 Femrite Dr, Monona, WI 53716-3716 | 2019-10-29 |
| 1366008609 | The Sensory Club, Inc. | Respite Care | W238n1690 Rockwood Dr Ste 500, Waukesha, WI 53188-2484 | 2019-05-13 |
| 1639426091 | New Vision Wilderness | Respite Care | 1350 14th Ave, Suite 6, Grafton, WI 53024-1990 | 2012-08-04 |
| City | SAINT GERMAIN |
| Zip Code | 54558 |
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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.