RESCARE RESIDENTAIL SERVICES WISCONSIN, LLC
NPI 1497271449
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Johnson Creek, WI

Q: What is Rescare Residentail Services Wisconsin, 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.

Active since August 21, 2017

540 VILLAGE WALK LN STE C, JOHNSON CREEK, WI 53038(920) 261-3050 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2024, Aug 21, 2017 (2 updates tracked since 2017).

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About Rescare Residentail Services Wisconsin, Llc NPPES

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

RESCARE RESIDENTAIL SERVICES WISCONSIN, LLC (NPI 1497271449) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Johnson Creek, Wisconsin and active in the NPI registry since August 2017. The organization lists Angie Mattingly, Mgr Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1497271449

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameRESCARE RESIDENTAIL SERVICES WISCONSIN, LLC

Location Address540 VILLAGE WALK LN STE CJohnson Creek, WI 53038-9554

Mailing Address805 N Whittington PkwyLouisville, KY 40222-7101 · (502) 394-2100

Phone(920) 261-3050

Organization SubpartNo

Authorized OfficialAngie MattinglyMgr Provider Enrollment · (502) 394-2100

Enumeration DateAugust 21, 2017

Last NPPES UpdateApril 10, 20242 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1497271449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

540 VILLAGE WALK LN STE C, Johnson Creek, WI 53038

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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 Rescare Residentail Services Wisconsin, LLC's NPI number?

The NPI number for Rescare Residentail Services Wisconsin, LLC is 1497271449. It was assigned to this organization in the NPPES registry on August 21, 2017.

Where is Rescare Residentail Services Wisconsin, LLC located?

Rescare Residentail Services Wisconsin, LLC is located at 540 Village Walk Ln Ste C, Johnson Creek, WI 53038. The listed phone number is (920) 261-3050.

What is Rescare Residentail Services Wisconsin, 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.

When was this NPI record last updated?

The NPPES record for Rescare Residentail Services Wisconsin, LLC was last updated on April 10, 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.