NIGHT OWL SUPPORT SYSTEMS, LLC (NPI# 1932467743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932467743 |
| Entity Type | Organization |
| Organization Name | NIGHT OWL SUPPORT SYSTEMS, LLC |
| Practice Address |
122 E. Olin Ave. Suite 110 Madison WI 53713 |
| Mailing Address |
122 E. Olin Ave. Ste 110 Madison WI 53713 |
| Practice Telephone | 8775591642 |
| Practice Fax Number | 6089604003 |
| Mailing Telephone | 8775591642 |
| Mailing Fax Number | 6089604003 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | DANIELLE B. CHILSON (OWNER/MEMBER) |
| Authorized Official Telephone | 8775591642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333300000X | Emergency Response System Companies | Suppliers | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | NIGHT OWL SUPPORT SYSTEMS, LLC | 122 E. Olin Ave., Suite 110, Madsion, WI 53713 |
| Street Address |
122 E. OLIN AVE. SUITE 110 |
| City | MADISON |
| State | WI |
| Zip Code | 53713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861862336 | Living Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6873 Dave Drive, Madison, OH 44057 | 2015-09-28 |
| 1275873317 | Phoenix Residential Centers, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5278 Lockwood Rd, Madison, OH 44057-2313 | 2013-02-27 |
| 1588900260 | Living Opportunities Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2243 Cambrian Way, Madison, OH 44057-2409 | 2012-12-27 |
| 1659420073 | Every Citizen Counts Organization | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 706 Sw 7th St, Madison, SD 57042 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597933 | Mount Pleasant Homes LLP | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1917 Mount Pleasant St, Racine, WI 53404-2236 | 2020-10-28 |
| 1730736927 | Horizon Life Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 217 Wisconsin Ave Ste 201, Waukesha, WI 53186-4946 | 2019-08-22 |
| 1316457203 | James Cares LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2422 Marshall Sq, Kansasville, WI 53139-9763 | 2017-10-05 |
| 1497271449 | Rescare Residentail Services Wisconsin, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 S Pelham St, Rhinelander, WI 54501-3316 | 2017-08-21 |
| 1144756685 | Safe Haven Senior Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 E 19th St, Marshfield, WI 54449-5074 | 2017-05-03 |
| 1407209109 | Shepherds Baptist Ministries Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1805 15th Ave, Union Grove, WI 53182-1527 | 2016-07-18 |
| 1790140382 | Iris Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2339 N 60th St, Wauwatosa, WI 53210-2220 | 2015-12-23 |
| 1316312218 | A Place for Miracles Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7022 N 43rd St, Milwaukee, WI 53209-2219 | 2015-12-03 |
| 1396088639 | Bell Therapy, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 628 S 68th St, Milwaukee, WI 53214-1608 | 2013-04-05 |
| 1790039519 | Harbor Hope Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1626 S Park Ave, 908 Baldwin St, Neenah, WI 54956-5025 | 2012-10-31 |
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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.