PRADER WILLI HOMES OF OCONOMOWOC
NPI 1396891875
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Oconomowoc, WI
About Prader Willi Homes Of Oconomowoc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRADER WILLI HOMES OF OCONOMOWOC (NPI 1396891875) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Oconomowoc, Wisconsin and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Melissa Schmieder, Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 52D2093179
Prader-Willi Homes Of Oconomowoc Health Services · Oconomowoc, WIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OCONOMOWOC, WI 53066
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 Prader Willi Homes Of Oconomowoc LLC's NPI number?
The NPI number for Prader Willi Homes Of Oconomowoc LLC is 1396891875. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider is doing business as Prader Willi Homes Of Oconomowoc.
Where is Prader Willi Homes Of Oconomowoc LLC located?
Prader Willi Homes Of Oconomowoc LLC is located at 1746 Executive Drive, Oconomowoc, WI 53066. The listed phone number is (262) 569-5515.
What is Prader Willi Homes Of Oconomowoc LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
Does Prader Willi Homes Of Oconomowoc LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2093179) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prader Willi Homes Of Oconomowoc LLC was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Prader Willi Homes Of Oconomowoc · NPI 1396891875
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Oconomowoc, Wisconsin. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1396891875 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Legal business name:** Prader Willi Homes Of Oconomowoc Llc
- **Organization subpart:** No
- **Authorized official:** Melissa Schmieder, CONTROLLER
## Practice location
- **Address:** 1746 EXECUTIVE DRIVE, Oconomowoc, WI 53066
- **Phone:** (262) 569-5515
## Record status
- **NPPES last updated:** July 18, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396891875) · Data from the CMS NPPES public registry.