COUNTY OF LA CROSSE
NPI 1750915575
Custodial Care Facility - Adult Care Home in West Salem, WI

Active since March 02, 2020
856 GARLAND ST E, WEST SALEM, WI 54669(608) 786-0168(608) 793-6604 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About COUNTY OF LA CROSSE

This page provides the complete NPI Profile along with additional information for County Of La Crosse, a provider established in West Salem, Wisconsin operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1750915575 assigned on March 2020. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Wanda Gibney (Executive Director Long Term Care &)

NPI
1750915575 Verify this NPI
Provider Name
COUNTY OF LA CROSSE
Entity Type
Organization
Location Address
856 GARLAND ST E WEST SALEM, WI 54669
Location Phone
(608) 786-0168
Location Fax
(608) 793-6604
Mailing Address
962 GARLAND ST E WEST SALEM, WI 54669
Mailing Phone
(608) 786-1400
Mailing Fax
(608) 793-6505
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-02-2020
Last Update Date
03-02-2020
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WANDA GIBNEY

Authorized Official Title
EXECUTIVE DIRECTOR LONG TERM CARE &
Authorized Official Phone
(608) 612-0643

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750915575, enumerated as an "organization" on March 02, 2020.

The provider is located at 856 GARLAND ST E WEST SALEM, WI 54669 and the phone number is (608) 786-0168.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.