MEDICAID
NPI 1336109776
Custodial Care Facility in Menasha, WI
About Medicaid NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAID (NPI 1336109776) is a healthcare organization registered as a custodial care facility in Menasha, Wisconsin and active in the NPI registry since March 2006. The organization lists Lori Ann Farragh, Rn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
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 Medicaid's NPI number?
The NPI number for Medicaid is 1336109776. It was assigned to this organization in the NPPES registry on March 27, 2006.
Where is Medicaid located?
Medicaid is located at 1125 Geneva Rd, Menasha, WI 54952. The listed phone number is (920) 450-8323.
What is Medicaid's specialty?
The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.
When was this NPI record last updated?
The NPPES record for Medicaid was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.