DEVELOPMENTAL DISABILITIES INFORMATION SERVICE, INC. (NPI# 1962647081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962647081 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES INFORMATION SERVICE, INC. |
| Practice Address |
1139 S Sunnyslope Dr Suite 101 Mount Pleasant WI 53406-3998 |
| Practice Telephone | 2626372707 |
| Practice Fax Number | 2626370266 |
| Mailing Telephone | 2626372707 |
| Mailing Fax Number | 2626370266 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | KRIS LEONE FELL (DIRECTOR) |
| Authorized Official Telephone | 2628982100 |
| Authorized Official Credential | CSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
1139 S SUNNYSLOPE DR SUITE 101 |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-3998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770967366 | Matthew Paluchniak | Physical Therapist | 1139 S Sunnyslope Dr, Suite 203, Mount Pleasant, WI 53406-3998 | 2015-07-14 |
| 1891192647 | Shana Blackman | Physical Therapist | 1139 S Sunnyslope Dr, Suite 203, Mount Pleasant, WI 53406-3998 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336579515 | Path Finders Team Services | Case Management | 510 Mill St., Suite 1-c, Mount Pleasant, SC 29464 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700705 | Omega Prenatal Care Coordination Services LLC | Case Management | 9921 W Dean Rd, Milwaukee, WI 53224-2446 | 2020-11-06 |
| 1386243772 | Premier Care Services | Case Management | 2200 N Mayfair Rd, Wauwatosa, WI 53226-2252 | 2020-10-19 |
| 1124626544 | Child Care Matters Network Inc | Case Management | 7817 W Brown Deer Rd Ste 6, Milwaukee, WI 53223-1916 | 2020-10-16 |
| 1457959355 | Here for You Prenatal Coordination Services LLC | Case Management | 739 S 89th St, West Allis, WI 53214-2814 | 2020-10-13 |
| 1386241909 | Gloria Baxter | Case Management | 907 W Atkinson Ave, Milwaukee, WI 53206-3326 | 2020-10-06 |
| 1891301891 | Just Me & Mommy Family Services LLC | Case Management | 6830 W Villard Ave Ste 308, Milwaukee, WI 53218-3968 | 2020-09-16 |
| 1407467350 | Miranda Marie Porter | Case Management | 4760 N 22nd St, Milwaukee, WI 53209-6335 | 2020-08-13 |
| 1801407051 | Bundle of Love Prenatal LLC | Case Management | 5406 N Lovers Lane Rd, Milwaukee, WI 53225-3006 | 2020-08-12 |
| 1174133326 | Sharing Love Corporation | Case Management | 2200 N 12th St, Milwaukee, WI 53205-1320 | 2020-08-03 |
| 1851901268 | Community Work Services, Inc. | Case Management | 1402 Greenway Cross Ste 200, Madison, WI 53713-3181 | 2020-08-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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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.