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RELIV OF SOUTHERN WISCONSIN
NPI 1629217062
Home Health in Beaver Dam, WI

Active since February 09, 2009
201 PRAIRIE VIEW DR, BEAVER DAM, WI 53916(920) 356-0681 Get Directions Write a Review

NPPES record last updated: February 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reliv Of Southern Wisconsin NPPES

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

RELIV OF SOUTHERN WISCONSIN (NPI 1629217062) is a healthcare organization registered as a home health in Beaver Dam, Wisconsin and active in the NPI registry since February 2009. The organization lists Vittorio Giuseppe Spadaro, Chairman Vp Nutrition, as its authorized official.

NPPES Registry Identity

NPI1629217062
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameRELIV OF SOUTHERN WISCONSIN
Location Address201 PRAIRIE VIEW DRBeaver Dam, WI 53916-3406
Mailing Address305 S Clark StMayville, WI 53050-1488 · (920) 356-0681
Phone(920) 356-0681
Organization SubpartNo
Authorized OfficialVittorio Giuseppe SpadaroChairman Vp Nutrition · (920) 356-0681
Enumeration DateFebruary 9, 2009
Last NPPES UpdateFebruary 10, 2009
✔ NPI 1629217062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
201 PRAIRIE VIEW DR, Beaver Dam, WI 53916
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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 Reliv Of Southern Wisconsin's NPI number?

The NPI number for Reliv Of Southern Wisconsin is 1629217062. It was assigned to this organization in the NPPES registry on February 9, 2009.

Where is Reliv Of Southern Wisconsin located?

Reliv Of Southern Wisconsin is located at 201 Prairie View Dr, Beaver Dam, WI 53916. The listed phone number is (920) 356-0681.

What is Reliv Of Southern Wisconsin's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Reliv Of Southern Wisconsin was last updated on February 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.