KAISER ADULT FAMILY CARE, LLC (NPI# 1720498736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720498736 |
| Entity Type | Organization |
| Organization Name | KAISER ADULT FAMILY CARE, LLC |
| Practice Address |
W782 Leroy St Edgar WI 54426-9627 |
| Mailing Address |
311 N 14th St Wausau WI 54403-5688 |
| Practice Telephone | 7154325060 |
| Mailing Telephone | 7153013725 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | CHRIS J KAISER (ADMINISTRATOR, OWNER) |
| Authorized Official Telephone | 7153013725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 0014963 | WI | Residential Treatment Facilities |
| Street Address |
W782 LEROY ST |
| City | EDGAR |
| State | WI |
| Zip Code | 54426-9627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942238167 | Sport & Spine Clinic Lp | Physical Therapist | 325 S.third Avenue, Suite B, Edgar, WI 54426 | 2006-06-28 |
| 1780627083 | Andrew Brian Davis | Physical Therapist | 216 W Redwood St, Edgar, WI 54426 | 2006-06-14 |
| 1619003662 | Edgar Volunteer Fire Dept | Ambulance | 108 Beech St, Box 123, Edgar, WI 54426-0123 | 2007-02-26 |
| 1942762711 | Breanna Grace Lindberg | Registered Nurse | 228235 Pinenut Rd, Edgar, WI 54426-4485 | 2019-04-02 |
| 1639358070 | School District of Edgar | Local Education Agency (LEA) | 203 E Birch St, Edgar, WI 54426-9086 | 2007-11-02 |
| 1427200997 | Amy Marie Mckibben | Registered Nurse | 1660 11th Ave, Edgar, WI 54426-9105 | 2008-10-16 |
| 1164758934 | Katie Lynn Kaiser | Registered Nurse | 4700 Weinkauf Rd, Edgar, WI 54426-9142 | 2009-10-28 |
| 1699145409 | Marina C Maguire | Registered Nurse | 261 N Hillwood Rd, Edgar, WI 54426-9268 | 2015-10-06 |
| 1164506911 | Herbert N Bretl | Dentist | 223 S 3rd Ave, Edgar, WI 54426-9281 | 2006-10-25 |
| 1962658609 | Szmanda Dental Center | Dentist | 223 S 3rd Ave, Edgar, WI 54426-9281 | 2008-08-13 |
| Find all providers in zip 54426 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093252140 | Apria Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2833 S 12th St, Sheboygan, WI 53081-6703 | 2017-01-27 |
| 1316482920 | Cheryl Mcmahon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2483 28th St, Rice Lake, WI 54868-9098 | 2017-01-05 |
| 1093174765 | Diane Cook | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12489 State Highway 56, Viola, WI 54664-8914 | 2016-02-23 |
| 1467810788 | Stonebrick Residential Living Facility LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4703 W Villard Ave, Milwaukee, WI 53218-4459 | 2016-02-01 |
| 1932574670 | Gayle Millis | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3260 E Carollton Dr, Oak Creek, WI 53154-4165 | 2015-12-07 |
| 1942605670 | Methu Adult Family Care Home II | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2824 N 59th St, Milwaukee, WI 53210-1504 | 2014-10-23 |
| 1851721344 | Evergreen Pines Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 343 E Cumberland St, Berlin, WI 54923-1206 | 2013-11-19 |
| 1679913487 | Berlin Pines, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 642 Broadway, Berlin, WI 54923-1302 | 2013-06-26 |
| 1245502053 | Gloria Aweke | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gas Light Dr, Sun Prairie, WI 53590-3459 | 2012-02-08 |
| 1144500331 | Cedar Pines, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 101 W Division St, Wautoma, WI 54982-8467 | 2011-08-19 |
| 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.