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COLONIAL CLUB, INC.
NPI 1033659669
Voluntary or Charitable in Sun Prairie, WI

Active since March 01, 2017
301 BLANKENHEIM LN, SUN PRAIRIE, WI 53590(608) 837-4611(608) 837-9302 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colonial Club, Inc. NPPES

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

COLONIAL CLUB, INC. (NPI 1033659669) is a healthcare organization registered as a voluntary or charitable in Sun Prairie, Wisconsin and active in the NPI registry since March 2017. The organization lists Melody Riedel, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033659669
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameCOLONIAL CLUB, INC.
Location Address301 BLANKENHEIM LNSun Prairie, WI 53590-2373
Mailing Address301 Blankenheim LnSun Prairie, WI 53590-2373 · (608) 837-4611 · Fax (608) 837-9302
Phone(608) 837-4611
Fax(608) 837-9302
Organization SubpartNo
Authorized OfficialMelody RiedelExecutive Director · (608) 837-4611
Enumeration DateMarch 1, 2017
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1033659669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
License✔ Licensed in WI · 265-800
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
301 BLANKENHEIM LN, Sun Prairie, WI 53590
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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 Colonial Club, Inc.'s NPI number?

The NPI number for Colonial Club, Inc. is 1033659669. It was assigned to this organization in the NPPES registry on March 1, 2017.

Where is Colonial Club, Inc. located?

Colonial Club, Inc. is located at 301 Blankenheim Ln, Sun Prairie, WI 53590. The listed phone number is (608) 837-4611.

What is Colonial Club, Inc.'s specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Colonial Club, Inc. was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.