ST. COLETTA OF WISCONSIN, INC.
NPI 1295113587
Clinic/Center - Adult Day Care in Jefferson, WI

Q: What is St. Coletta Of Wisconsin, Inc.'s NPI number?

The NPI number for St. Coletta Of Wisconsin, Inc. is 1295113587. It was assigned to this organization in the NPPES registry on May 7, 2015.

Q: What is St. Coletta Of Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Active since May 07, 2015CLIA 52D2018045 · Waiver

N4637 COUNTY ROAD Y, JEFFERSON, WI 53549(920) 674-4330(920) 674-8422 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Sep 29, 2016 (2 updates tracked since 2016).

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About St. Coletta Of Wisconsin, Inc. NPPES

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

ST. COLETTA OF WISCONSIN, INC. (NPI 1295113587) is a healthcare organization registered as an adult day care in Jefferson, Wisconsin and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Robert Arthur Schmidt, Director Of Day Programs & Services, as its authorized official.

NPPES Registry Identity

NPI1295113587

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business NameST. COLETTA OF WISCONSIN, INC.

Location AddressN4637 COUNTY ROAD YJefferson, WI 53549-9720

Mailing AddressN4637 County Road YJefferson, WI 53549-9720 · (920) 674-4330 · Fax (920) 674-8422

Phone(920) 674-4330

Fax(920) 674-8422

Organization SubpartNo

Authorized OfficialRobert Arthur SchmidtDirector Of Day Programs & Services · (920) 674-8219

Enumeration DateMay 7, 2015

Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1295113587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities

Taxonomy Code261QA0600X

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License PROVISIONAL CERTIFIC (IL)

Also ListedHome HealthTaxonomy 251E00000X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 199800003C (IL)

N4637 COUNTY ROAD Y, Jefferson, WI 53549

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CLIA Laboratory Certificates CMS CLIA

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 52D2018045

St Coletta Of Wisconsin · Jefferson, WI

Active · expires Dec 21, 2026

CLIA Number52D2018045

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 22, 2024

Certificate Expiration DateDecember 21, 2026

Laboratory DirectorMr. Daniel J. Golson

Laboratory Phone(920) 674-8270

Laboratory LocationSt Coletta Of WisconsinN4637 County Road Y, Jefferson, WI 53549

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 St. Coletta Of Wisconsin, Inc.'s NPI number?

The NPI number for St. Coletta Of Wisconsin, Inc. is 1295113587. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is St. Coletta Of Wisconsin, Inc. located?

St. Coletta Of Wisconsin, Inc. is located at N4637 County Road Y, Jefferson, WI 53549. The listed phone number is (920) 674-4330.

What is St. Coletta Of Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does St. Coletta Of Wisconsin, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2018045) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Coletta Of Wisconsin, Inc. was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.