LAD LAKE, INC.
NPI 1114196854
Residential Treatment Facility, Emotionally Disturbed Children in Dousman, WI

NPI Status: Active since February 27, 2008

Contact Information

W350S1401 WATERVILLE RD
DOUSMAN, WI
ZIP 53118
Phone: (262) 965-2131

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  • Organization
  • Residential Treatment Facility, Emotiona...

About LAD LAKE, INC.

This page provides the complete NPI Profile along with additional information for Lad Lake, Inc., a provider established in Dousman, Wisconsin operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1114196854 assigned on February 2008. The practitioner's primary taxonomy code is 322D00000X with license number 265001 (WI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Gary L Erdmann (Executive Director)

NPI
1114196854
Provider Name
LAD LAKE, INC.
Entity Type
Organization
Location Address
W350S1401 WATERVILLE RD DOUSMAN, WI 53118
Location Phone
(262) 965-2131
Mailing Address
W350S1401 WATERVILLE RD DOUSMAN, WI 53118
Mailing Phone
(262) 965-2131
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2008
Last Update Date
02-27-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
265001
License State
WI
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

NONE (WI)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GARY L ERDMANN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(262) 965-2131

Reviews for LAD LAKE, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114196854, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 2 + 9 + 1 + 2 + 8 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114196854.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Social Worker (Clinical)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Registered Nurse
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Psychologist (Rehabilitation)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Social Worker (Clinical)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Social Worker (Clinical)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Nurse Practitioner (Psychiatric/Mental Health)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118
Counselor (Mental Health)
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114196854, enumerated as an "organization" on February 27, 2008.

The provider is located at W350S1401 WATERVILLE RD DOUSMAN, WI 53118 and the phone number is (262) 965-2131.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.