LAC COURTE OREILLES GOVERNING
NPI 1891659215
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Stone Lake, WI

Active since December 10, 2025
13856 W CORBINE DR, STONE LAKE, WI 54876(715) 558-7939 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lac Courte Oreilles Governing NPPES

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

LAC COURTE OREILLES GOVERNING (NPI 1891659215) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Stone Lake, Wisconsin and active in the NPI registry since December 2025. The organization lists Mary Wolf, Director, as its authorized official.

NPPES Registry Identity

NPI1891659215
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameLAC COURTE OREILLES GOVERNING
Location Address13856 W CORBINE DRStone Lake, WI 54876-4001
Mailing Address13856 W Corbine DrStone Lake, WI 54876-4001 · (715) 558-7939
Organization SubpartNo
Authorized OfficialMary WolfDirector · (715) 558-7939
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
NPI 1891659215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
13856 W CORBINE DR, Stone Lake, WI 54876

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 Lac Courte Oreilles Governing's NPI number?

The NPI number for Lac Courte Oreilles Governing is 1891659215. It was assigned to this organization in the NPPES registry on December 10, 2025.

Where is Lac Courte Oreilles Governing located?

Lac Courte Oreilles Governing is located at 13856 W Corbine Dr, Stone Lake, WI 54876. The listed phone number is (715) 558-7939.

What is Lac Courte Oreilles Governing's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Lac Courte Oreilles Governing was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.