COUNTY OF TREMPEALEAU (NPI# 1952541013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952541013 |
| Entity Type | Organization |
| Organization Name | COUNTY OF TREMPEALEAU |
| Other Organization Name | CLOVER WAY RCAC |
| Practice Address |
36125 E End Rd Independence WI 54747-8080 |
| Practice Telephone | 7159852270 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | MR. PHILLIP JOHN BORRESON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7155384312 |
| Authorized Official Credential | N.H.A., M.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF TREMPEALEAU |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
12483 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 12483 | 05 |
| Other Name | Type Code |
|---|---|
| Clover Way RCAC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953475 | County of Trempealeau | Community Based Residential Treatment Facility, Mental Illness | N36655 County Road Qqq, Whitehall, WI 54773-4401 | 2020-08-19 |
| 1578982278 | County of Trempealeau | Custodial Care Facility | 624 Sobotta St, Arcadia, WI 54612-1878 | 2014-04-09 |
| 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 |
| 1326170267 | County of Trempealeau | Custodial Care Facility | W17306 Arneson Ridge Rd., Blair, WI 54616 | 2007-03-09 |
| 1306899513 | County of Trempealeau | Custodial Care Facility | 23094 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-18 |
| 1295783124 | County of Trempealeau | Community Based Residential Treatment Facility, Mental Illness | 18425 Dodge St, Whitehall, WI 54773-8444 | 2006-05-04 |
| 1659339273 | County of Trempealeau | Assisted Living Facility | 13197 Church Street, Pigeon Falls, WI 54760 | 2006-05-03 |
| 1548227770 | County of Trempealeau | Clinic/Center | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-01 |
| 1326005638 | County of Trempealeau | Skilled Nursing Facility | W20298 State Road 121, Whitehall, WI 54773-9685 | 2006-04-28 |
| Street Address |
36125 E END RD |
| City | INDEPENDENCE |
| State | WI |
| Zip Code | 54747-8080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518127000 | Trempealeau County Health Care Center | Custodial Care Facility | 36125 E End Rd, Independence, WI 54747-8080 | 2008-06-10 |
| 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 | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831302827 | Maywood Manor | Assisted Living Facility | 1041 W Truman Rd, Independence, MO 64050-3447 | 2007-05-07 |
| 1790946549 | Stroetker Diversivied Inc | Assisted Living Facility | 1041 W Truman Rd, Independence, MO 64050-3447 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879614 | Nejia Mitchell | Assisted Living Facility | 4104 N 63rd St, Milwaukee, WI 53216-1241 | 2020-04-08 |
| 1972154789 | Mindstar Residential Community | Assisted Living Facility | 5901 W Brown Deer Rd Unit 109, Brown Deer, WI 53223-2338 | 2019-09-23 |
| 1780080473 | Burr Oak Manor, Inc. | Assisted Living Facility | 264 Walworth St, Genoa City, WI 53128-2147 | 2014-11-07 |
| 1043635923 | Divine Living Afh LLC | Assisted Living Facility | 7752 W Brentwood Ave, Milwaukee, WI 53223-6106 | 2014-02-28 |
| 1518304104 | Springbrook Community Assisted Living Inc | Assisted Living Facility | 861 Critter Ct, Onalaska, WI 54650-8689 | 2013-05-23 |
| 1366795957 | Cornerstone Adult Family Homes | Assisted Living Facility | N3445 Como Rd Stop 7, Lake Geneva, WI 53147-2658 | 2012-10-19 |
| 1720344237 | Familylivingllc | Assisted Living Facility | 9120 N 94th St, Milwaukee, WI 53224-1705 | 2012-04-09 |
| 1720375033 | Birch Haven Senior Living, Inc. | Assisted Living Facility | 218 22nd Ave W, Ashland, WI 54806-1021 | 2011-07-07 |
| 1194017194 | Angela Sueline Carroll | Assisted Living Facility | 6228 W Kaul Ave Apt 1, Milwaukee, WI 53218-1527 | 2011-05-09 |
| 1922327634 | Americanway of Madison LLC | Assisted Living Facility | 734 Mesta Ln, Madison, WI 53704-7843 | 2010-05-19 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 54747 |
Please comment or provide details below to improve the information on COUNTY OF TREMPEALEAU.
| 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.