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BV/MSTAR CALEDONIA TENANT, LLC
NPI 1851990436
Alzheimer Center (Dementia Center) in Racine, WI

Active since October 23, 2020
5737 ERIE ST, RACINE, WI 53402(262) 639-6025(262) 639-5279 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bv/mstar Caledonia Tenant, Llc NPPES

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

BV/MSTAR CALEDONIA TENANT, LLC (NPI 1851990436), doing business as The Woods Of Caledonia, is a healthcare organization registered as an alzheimer center (dementia center) in Racine, Wisconsin and active in the NPI registry since October 2020. The organization lists Henry James Vaughn, Reimbursement Analyst, as its authorized official.

NPPES Registry Identity

NPI1851990436
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameBV/MSTAR CALEDONIA TENANT, LLC
Location Address5737 ERIE STRacine, WI 53402-1970
Mailing Address5737 Erie StRacine, WI 53402-1970 · (262) 639-6025 · Fax (262) 639-5279
Phone(262) 639-6025
Fax(262) 639-5279
Organization SubpartNo
Authorized OfficialHenry James VaughnReimbursement Analyst · (240) 595-6025
Enumeration DateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1851990436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
5737 ERIE ST, Racine, WI 53402
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Other Names 1

Doing Business AsThe Woods Of Caledonia

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY FREDERICH CCC-SLP
Speech-Language Pathologist
5737 ERIE ST
CALEDONIA, WI 53402
Racine County (609) 802-4806
WOODS OF CALEDONIA MEMORY CARE LLC
Assisted Living Facility
5737 ERIE ST
RACINE, WI 53402
Racine County (262) 417-7120
KRYSTYN KELLY HIRSCH DPT
Physical Therapist
5737 ERIE ST
RACINE, WI 53402
Racine County (262) 639-6015

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 Bv/Mstar Caledonia Tenant, LLC's NPI number?

The NPI number for Bv/Mstar Caledonia Tenant, LLC is 1851990436. It was assigned to this organization in the NPPES registry on October 23, 2020. The provider is doing business as The Woods of Caledonia.

Where is Bv/Mstar Caledonia Tenant, LLC located?

Bv/Mstar Caledonia Tenant, LLC is located at 5737 Erie St, Racine, WI 53402. The listed phone number is (262) 639-6025.

What is Bv/Mstar Caledonia Tenant, LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

When was this NPI record last updated?

The NPPES record for Bv/Mstar Caledonia Tenant, LLC was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.