Organization · Type 2 NPI

County of Trempealeau

Adult Care Home Facility · Independence, WI

NPI number 1306899513 Active

Practice location

23094 Whitehall Rd
Independence, WI 54747-9065

Call (715) 985-2682 Map

Mailing address

W20410 State Road 121
Whitehall, WI 54773-9147

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	11249 (WI)

Adult Care Home Facility: 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.

Other adult care home facility providers in Independence

See all in Independence →

NPI record

NPI: 1306899513
Entity type: Organization (Type 2)
Issued: May 18, 2006
Last updated: Apr 15, 2021
Status: Active
Subpart: Yes of County of Trempealeau

Other names

<unavail>
Apple Way Adult Family Home · doing business as
Apple Way Adult Family Home · doing business as

Authorized official

Jerry Deetz, N.H.A.
Executive Director
(715) 538-4312

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1306899513

County of Trempealeau's National Provider Identifier is 1306899513, issued on May 18, 2006. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Independence, WI. The record was last updated on Apr 15, 2021.