THEDACARE, INCORPORATED (NPI# 1699915504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699915504 |
| Entity Type | Organization |
| Organization Name | THEDACARE, INCORPORATED |
| Practice Address |
1405 Mill St New London WI 54961-2155 |
| Mailing Address |
3000 E College Ave Suite A Appleton WI 54915-3251 |
| Practice Telephone | 9209690919 |
| Practice Fax Number | 9209690020 |
| Mailing Telephone | 9209690919 |
| Mailing Fax Number | 9209690020 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | MR. TIM OLSON (CFO) |
| Authorized Official Telephone | 9203805889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 004-0000148276-0 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41700000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295823508 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 3000 E. College Ave, Appleton, WI 54915 | 2006-10-11 |
| 1194812784 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 2100 Omro Rd, Unit E, Oshkosh, WI 54904 | 2006-10-06 |
| 1881787380 | Thedacare, Incorporated | Hospice Care, Community Based | 3000 E College Ave, Suite A, Appleton, WI 54915 | 2006-10-02 |
| 1871065037 | Thedacare, Incorporated | Health Educator | 1602 N Meade St, Appleton, WI 54911-3770 | 2018-12-27 |
| 1780031559 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 191 Memorial Dr, Berlin, WI 54923-1241 | 2016-05-20 |
| 1730542408 | Thedacare, Incorporated | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2016-03-31 |
| 1760528798 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 710 Riverside Dr, Waupaca, WI 54981 | 2007-01-29 |
| 1477600567 | Thedacare, Incorporated | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2007-01-04 |
| 1699861617 | Thedacare, Incorporated | Pharmacy | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-10-05 |
| 1235225210 | Thedacare, Incorporated | Home Health | 3000 E College Ave, Suite A, Appleton, WI 54915 | 2006-10-05 |
| Street Address |
1405 MILL ST |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752057 | Hiep T Poppy | Physical Therapy Assistant | 1405 Mill St, New London, WI 54961-2155 | 2005-09-30 |
| 1952918328 | Emily Becher | Physical Therapist | 1405 Mill St, New London, WI 54961-2155 | 2020-09-29 |
| 1699232132 | Alyssa Wentworth | Physician Assistant | 1405 Mill St, New London, WI 54961-2155 | 2019-02-20 |
| 1609390855 | Leah M Lemke | Physician Assistant | 1405 Mill St, New London, WI 54961-2155 | 2017-07-31 |
| 1548783228 | Kelsey Mae Abendroth | Physical Therapist | 1405 Mill St, New London, WI 54961-2155 | 2017-07-25 |
| 1609397280 | Mayka L Rambo | Registered Nurse | 1405 Mill St, New London, WI 54961-2155 | 2017-07-04 |
| 1275087207 | Ryan Wagner | Emergency Medicine | 1405 Mill St, New London, WI 54961-2155 | 2016-08-08 |
| 1679932750 | Kristin M Roesler | Nurse Practitioner | 1405 Mill St, New London, WI 54961-2155 | 2016-02-17 |
| 1740675040 | Bryan Kent Hendrickson | Family Medicine | 1405 Mill St, New London, WI 54961-2155 | 2015-04-02 |
| 1972928463 | New London Family Medical Center Inc | Non-Pharmacy Dispensing Site | 1405 Mill St, New London, WI 54961-2155 | 2014-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406408 | Cheryl Schneider | Technician | L 56 Northgate Estates, New London, WI 54961 | 2019-09-12 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1659585172 | Amanda L. Beck | Physical Therapy Assistant | 400 E. 4th Street, Manawa, WI 54961 | 2007-05-10 |
| 1366599433 | Griebenow Eyecare, S.c. | Optometrist | 105 Northridge Drive, New London, WI 54961 | 2007-01-04 |
| 1740822055 | Lauren Mae Flunker | Social Worker | E7475 Rawhide Rd, New London, WI 54961 | 2019-10-09 |
| 1063641249 | Forefront Dermatology, S.c. | Dermatology | 1620 N Shawano St, Suite C, New London, WI 54961 | 2009-07-08 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1821263849 | Mark Alan Tegtmeier | Counselor | E7475 Rawhide Rd, New London, WI 54961 | 2008-04-30 |
| 1639282544 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 1420 Algoma St, New London, WI 54961 | 2006-08-16 |
| Find all providers in zip 54961 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565928 | Reliable Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 400 Bayonet St Ste 100, New London, CT 06320-2600 | 2019-09-04 |
| 1538344932 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 698 Bank St, New London, CT 06320-5040 | 2008-01-03 |
| 1386823573 | Shoreline Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 27 Fair Harbour Pl, New London, CT 06320-4710 | 2007-10-24 |
| 1548469729 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 21 Montauk Ave Ste 102, New London, CT 06320-4906 | 2007-07-17 |
| 1184836926 | Leonard Gary Fish | Durable Medical Equipment & Medical Supplies | 3 Colonial Place, New London, NH 03257 | 2007-05-04 |
| 1275754566 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 237 Jefferson Ave., New London, CT 06320 | 2007-05-02 |
| 1891869947 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2 Shaws Cv Ste 100, New London, CT 06320-4975 | 2006-11-20 |
| 1699879593 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 817 Bank St, New London, CT 06320-3503 | 2006-09-12 |
| 1154332641 | Mgfn Corp | Durable Medical Equipment & Medical Supplies | 613 Broad St, New London, CT 06320-2544 | 2006-08-10 |
| 1720005879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1717 N Shawano St, New London, WI 54961-9365 | 2006-07-16 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
Please comment or provide details below to improve the information on THEDACARE, INCORPORATED.
| 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.