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ST. COLETTA OF WISCONSIN
NPI 1871714543
Intermediate Care Facility, Intellectual Disabilities in Jefferson, WI

Active since May 01, 2007
W4955 US HIGHWAY 18, JEFFERSON, WI 53549(920) 674-4330(920) 674-8422 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Coletta Of Wisconsin NPPES

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

ST. COLETTA OF WISCONSIN (NPI 1871714543) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Jefferson, Wisconsin and active in the NPI registry since May 2007. The organization lists John Heindel, Vice President Financial Services, as its authorized official.

NPPES Registry Identity

NPI1871714543
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameST. COLETTA OF WISCONSIN
Location AddressW4955 US HIGHWAY 18Jefferson, WI 53549-9702
Mailing AddressW4955 Us Highway 18Jefferson, WI 53549-9702 · (920) 674-4330 · Fax (920) 674-8422
Phone(920) 674-4330
Fax(920) 674-8422
Organization SubpartNo
Authorized OfficialJohn HeindelVice President Financial Services · (920) 674-8287
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871714543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in WI · 1109
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
W4955 US HIGHWAY 18, Jefferson, WI 53549
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Other Identifiers 1

Other20009700WI · Provider Number

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 St. Coletta Of Wisconsin's NPI number?

The NPI number for St. Coletta Of Wisconsin is 1871714543. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is St. Coletta Of Wisconsin located?

St. Coletta Of Wisconsin is located at W4955 Us Highway 18, Jefferson, WI 53549. The listed phone number is (920) 674-4330.

What is St. Coletta Of Wisconsin's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for St. Coletta Of Wisconsin was last updated on August 22, 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.