LAKE DELAVAN CENTER INC
NPI 1285319723
Community Based Residential Treatment Facility, Mental Illness in Delavan, WI
About Lake Delavan Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE DELAVAN CENTER INC (NPI 1285319723) is a healthcare organization registered as a community based residential treatment facility, mental illness in Delavan, Wisconsin and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates and lists Karl Rajani, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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 of Waiver 52D2349453
Lake Delevan Center I · Delavan, WICertificate of Waiver 52D2349454
Lake Delevan Center II · Delavan, WIFrequently 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 Lake Delavan Center Inc's NPI number?
The NPI number for Lake Delavan Center Inc is 1285319723. It was assigned to this organization in the NPPES registry on June 21, 2023.
Where is Lake Delavan Center Inc located?
Lake Delavan Center Inc is located at 311 Turtle Creek Dr, Delavan, WI 53115. The listed phone number is (414) 841-2972.
What is Lake Delavan Center Inc's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
Does Lake Delavan Center 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 Lake Delavan Center Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Lake Delavan Center 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 Lake Delavan Center Inc was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lake Delavan Center Inc · NPI 1285319723
Community Based Residential Treatment Facility, Mental Illness organization in Delavan, Wisconsin. Organization record, active in the CMS NPPES registry since June 21, 2023.
## Identity
- **NPI:** 1285319723 (Entity type: Organization)
- **Enumerated:** June 21, 2023
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Karl Rajani, PRESIDENT
## Practice location
- **Address:** 311 TURTLE CREEK DR, Delavan, WI 53115-1545
- **Phone:** (414) 841-2972
## Record status
- **NPPES last updated:** June 21, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285319723) · Data from the CMS NPPES public registry.