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HOLY FAMILY MEMORIAL INC
NPI 1174629075
Home Health in Manitowoc, WI

Active since September 16, 2006CLIA Certified · 2 labs
1520 S 41ST ST, MANITOWOC, WI 54220(920) 320-4201(920) 320-5135 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Oct 8, 2025, Mar 10, 2025 and 5 more (8 updates tracked since 2021).

About Holy Family Memorial Inc NPPES

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

HOLY FAMILY MEMORIAL INC (NPI 1174629075), doing business as Froedtert Holy Family Memorial, is a healthcare organization registered as a home health in Manitowoc, Wisconsin and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Brian Graf, Vice President, as its authorized official.

NPPES Registry Identity

NPI1174629075
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHOLY FAMILY MEMORIAL INC
Location Address1520 S 41ST STManitowoc, WI 54220-7312
Mailing AddressN74w12501 Leatherwood CtMenomonee Falls, WI 53051-4490
Phone(920) 320-4201
Fax(920) 320-5135
Organization SubpartYes
Authorized OfficialBrian GrafVice President · (920) 320-3451
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 18, 20258 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1174629075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in WI · 143
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1520 S 41ST ST, Manitowoc, WI 54220
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Other Names 1

Doing Business AsFroedtert Holy Family Memorial

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0394716

Holy Family Memorial Nursing Dept · Manitowoc, WI
Active · expires Feb 14, 2028
CLIA Number52D0394716
Laboratory TypeHospital
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorDr. Suzanne M. Riley
Laboratory Phone(920) 320-2243
Laboratory LocationHoly Family Memorial Nursing Dept2300 Western Ave, Manitowoc, WI 54220
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 52D0394732

Holy Family Memorial Diagnostic Services At Harbor Town · Manitowoc, WI
Active · expires May 19, 2027
CLIA Number52D0394732
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorDr. Daniel W. Abbott
Laboratory Phone(920) 320-4525
Laboratory LocationHoly Family Memorial Diagnostic Services At Harbor Town1650 S 41st St, Manitowoc, WI 54220
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

THEDACARE, INCORPORATED
Home Health
1520 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 969-0919

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 Holy Family Memorial Inc's NPI number?

The NPI number for Holy Family Memorial Inc is 1174629075. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Froedtert Holy Family Memorial.

Where is Holy Family Memorial Inc located?

Holy Family Memorial Inc is located at 1520 S 41st St, Manitowoc, WI 54220. The listed phone number is (920) 320-4201.

What is Holy Family Memorial Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Holy Family Memorial Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Holy Family Memorial Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Network Health list Holy Family Memorial Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holy Family Memorial Inc was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.