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MRS. JODI ANN BUCKETT VANWORMER
NPI 1780411983
Custodial Care Facility - Adult Care Home in Elkhorn, WI

Active since September 19, 2024
W3928 POTTER RD, ELKHORN, WI 53121(262) 723-1936 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jodi Ann Buckett Vanwormer NPPES

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

MRS. JODI ANN BUCKETT VANWORMER (NPI 1780411983) is an individual adult care home provider in Elkhorn, Wisconsin, licensed in Wisconsin (0010620) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1780411983
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMRS. JODI ANN BUCKETT VANWORMER
Location AddressW3928 POTTER RDElkhorn, WI 53121-4041
Mailing AddressW3928 Potter RdElkhorn, WI 53121-4041 · (262) 723-1936
Phone(262) 723-1936
Sole ProprietorYes
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1780411983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in WI · 0010620
Definition
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.
W3928 POTTER RD, Elkhorn, WI 53121
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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 Jodi Buckett Vanwormer's NPI number?

The NPI number for Jodi Buckett Vanwormer is 1780411983. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Jodi Buckett Vanwormer located?

Jodi Buckett Vanwormer practices at W3928 Potter Rd, Elkhorn, WI 53121. The listed phone number is (262) 723-1936.

What is Jodi Buckett Vanwormer's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jodi Buckett Vanwormer was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.