LAD LAKE, INC. – NPI #1114196854
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

LAD LAKE, INC. is a residential treatment facility located in DOUSMAN, WI. NPPES has assigned the NPI number 1114196854 to LAD LAKE, INC. on February 27, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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 LAD LAKE, INC. below.

NPI Profile for
LAD LAKE, INC.

NPI Number
1114196854
Enumeration Date

(more than 18 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
LAD LAKE, INC.
Primary location
W350S1401 WATERVILLE RD
DOUSMAN, WI 53118-9020
Phone: (262) 965-2131 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GARY ERDMANN
EXECUTIVE DIRECTOR
Phone: (262) 965-2131
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.

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.