Organization · Type 2 NPI
Medicaid
Custodial Care Facility · Menasha, WI
Practice location
1125 Geneva Rd
Menasha, WI 54952-1505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | None listed |
| Pediatric Skilled Nursing Facility | 3140N1450X | None listed |
Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…
About NPI 1336109776
Medicaid's National Provider Identifier is 1336109776, issued on Mar 27, 2006. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Menasha, WI. The record was last updated on Sep 11, 2025.