Individual provider · Type 1 NPI

Traneda Malott

Adult Care Home Facility · Racine, WI

NPI number 1528936085 Active

Practice location

3320 5th Ave
Racine, WI 53402-3732

Mailing address

2310 S Green Bay Rd Ste C-111
Racine, WI 53406-4957

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

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.

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About NPI 1528936085

Traneda Malott's National Provider Identifier is 1528936085, issued on Oct 27, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Racine, WI. The record was last updated on Oct 27, 2025.