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PRIVATE DUTY NURSING SERVICE
NPI 1154754620
Skilled Nursing Facility - Nursing Care, Pediatric in Madison, WI

Active since August 19, 2013
1538 TROY DR APT 1, MADISON, WI 53704(231) 343-8538 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Private Duty Nursing Service NPPES

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

PRIVATE DUTY NURSING SERVICE (NPI 1154754620) is a healthcare organization registered as a nursing care, pediatric in Madison, Wisconsin and active in the NPI registry since August 2013. The organization lists Mustapha Kambi, Registered, as its authorized official.

NPPES Registry Identity

NPI1154754620
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NamePRIVATE DUTY NURSING SERVICE
Location Address1538 TROY DR APT 1Madison, WI 53704-2074
Mailing Address1538 Troy Dr Apt 1Madison, WI 53704-2074 · (231) 343-8538
Phone(231) 343-8538
Organization SubpartNo
Authorized OfficialMustapha KambiRegistered · (231) 343-8538
Enumeration DateAugust 19, 2013
Last NPPES UpdateAugust 20, 2013
✔ NPI 1154754620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License✔ Licensed in WI · 19433930
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
1538 TROY DR APT 1, Madison, WI 53704
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Other Identifiers 1

Medicaid2241974WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUSTAPHA KAMBI RN
Registered Nurse
1538 TROY DR APT 1
MADISON, WI 53704
Dane County (231) 343-8538

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 Private Duty Nursing Service's NPI number?

The NPI number for Private Duty Nursing Service is 1154754620. It was assigned to this organization in the NPPES registry on August 19, 2013.

Where is Private Duty Nursing Service located?

Private Duty Nursing Service is located at 1538 Troy Dr Apt 1, Madison, WI 53704. The listed phone number is (231) 343-8538.

What is Private Duty Nursing Service's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Private Duty Nursing Service was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.