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ERIC GERALD PHELPS
NPI 1003583238
Custodial Care Facility - Adult Care Home in Cornell, WI

Active since August 25, 2021
104 N 11TH ST, CORNELL, WI 54732(715) 202-3586 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Gerald Phelps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC GERALD PHELPS (NPI 1003583238) is an individual adult care home provider in Cornell, Wisconsin and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1003583238
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameERIC GERALD PHELPS
Location Address104 N 11TH STCornell, WI 54732-8106
Mailing Address104 N 11th StCornell, WI 54732-8106 · (715) 202-3586
Phone(715) 202-3586
Sole ProprietorYes
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1003583238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
104 N 11TH ST, Cornell, WI 54732
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Other Identifiers 1

Medicaid100178091WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Phelps's NPI number?

The NPI number for Eric Phelps is 1003583238. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Eric Phelps located?

Eric Phelps practices at 104 N 11th St, Cornell, WI 54732. The listed phone number is (715) 202-3586.

What is Eric Phelps's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Eric Phelps was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.