ST. COLETTA OF WISCONSIN, INC.
NPI 1295113587
Clinic/Center - Adult Day Care in Jefferson, WI
NPI Status: Active since May 07, 2015
Contact Information
N4637 COUNTY ROAD Y
JEFFERSON, WI
ZIP 53549
Phone: (920) 674-4330
Fax: (920) 674-8422
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 52D2018045
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 12-21-2026
About ST. COLETTA OF WISCONSIN, INC.
This page provides the complete NPI Profile along with additional information for St. Coletta Of Wisconsin, Inc., a provider established in Jefferson, Wisconsin operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1295113587 assigned on May 2015. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Robert Arthur Schmidt Mba (Director Of Day Programs & Services)
- NPI
- 1295113587
- Provider Name
- ST. COLETTA OF WISCONSIN, INC.
- Entity Type
- Organization
- Location Address
- N4637 COUNTY ROAD Y JEFFERSON, WI 53549
- Location Phone
- (920) 674-4330
- Location Fax
- (920) 674-8422
- Mailing Address
- N4637 COUNTY ROAD Y JEFFERSON, WI 53549
- Mailing Phone
- (920) 674-4330
- Mailing Fax
- (920) 674-8422
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2015
- Last Update Date
- 10-08-2024
- Code Navigator
Location Map
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
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | PROVISIONAL CERTIFIC (IL) |
| 2 | 251E00000X | Agencies | Home Health | |
| 3 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 199800003C (IL) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2018045
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- December 22, 2024
- Certificate Expiration Date
- December 21, 2026
- Laboratory Director
- MR. DANIEL J. GOLSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Coletta Of Wisconsin, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1295113587, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295113587, enumerated as an "organization" on May 07, 2015.
The provider is located at N4637 COUNTY ROAD Y JEFFERSON, WI 53549 and the phone number is (920) 674-4330.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
