OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL – NPI #1013240696
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL is a residential treatment facility located in DOUSMAN, WI. NPPES has assigned the NPI number 1013240696 to OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL on September 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL is also known by the name CORY HOUSE GROUP HOME. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL below.

NPI Profile for
OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL

NPI Number
1013240696
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL
Other Name: CORY HOUSE GROUP HOME
Primary location
201-203 CORY AVE.
DOUSMAN, WI 53118
Phone: (262) 569-5515 Fax: (262) 569-9962
Mailing address
PO BOX 278
DOUSMAN, WI 53118
Phone: (262) 569-5515 Fax: (262) 569-9962
Organization Subpart
Yes - OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL is subpart of another organization.
Authorized Official
M. FRISK
VICE PRESIDENT
Phone: (262) 569-5515
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 WI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.