WOODS OF CALEDONIA MEMORY CARE LLC
NPI 1932700994
Assisted Living Facility in Racine, WI
About Woods Of Caledonia Memory Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODS OF CALEDONIA MEMORY CARE LLC (NPI 1932700994), doing business as Woods Of Caledonia, is a healthcare organization registered as an assisted living facility in Racine, Wisconsin and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Pamela Rice, Director Of Revenue, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D2124114
Woods Of Caledonia,the · Caledonia, WIOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Woods Of Caledonia Memory Care LLC's NPI number?
The NPI number for Woods Of Caledonia Memory Care LLC is 1932700994. It was assigned to this organization in the NPPES registry on November 5, 2020. The provider was formerly known as Woods of Caledonia.
Where is Woods Of Caledonia Memory Care LLC located?
Woods Of Caledonia Memory Care LLC is located at 5737 Erie St, Racine, WI 53402. The listed phone number is (262) 417-7120.
What is Woods Of Caledonia Memory Care LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Woods Of Caledonia Memory Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2124114) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Woods Of Caledonia Memory Care LLC was last updated on November 5, 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.
# Woods Of Caledonia Memory Care Llc · NPI 1932700994
Assisted Living Facility organization in Racine, Wisconsin. Organization record, active in the CMS NPPES registry since November 5, 2020.
## Identity
- **NPI:** 1932700994 (Entity type: Organization)
- **Enumerated:** November 5, 2020
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Woods of Caledonia (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Pamela Rice, DIRECTOR OF REVENUE
## Practice location
- **Address:** 5737 ERIE ST, Racine, WI 53402-1970
- **Phone:** (262) 417-7120
## Record status
- **NPPES last updated:** November 5, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932700994) · Data from the CMS NPPES public registry.