EXODUS TRANSITIONAL CARE FACILITY INC. – NPI #1710304878
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

EXODUS TRANSITIONAL CARE FACILITY INC. is a substance abuse rehabilitation facility located in KEWASKUM, WI. NPPES has assigned the NPI number 1710304878 to EXODUS TRANSITIONAL CARE FACILITY INC. on March 26, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 5 years ago on Mar 12, 2021. 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 EXODUS TRANSITIONAL CARE FACILITY INC. below.

NPI Profile for
EXODUS TRANSITIONAL CARE FACILITY INC.

NPI Number
1710304878
Enumeration Date

(more than 12 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
EXODUS TRANSITIONAL CARE FACILITY INC.
Primary location
1421 FOND DU LAC AVE
KEWASKUM, WI 53040-9136
Phone: (626) 626-4166 Fax: (262) 626-8431
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHERYL COLWIN
CLINICAL SUPERVISOR/DIRECTOR
Phone: (262) 626-4166
Updated
Certification Date
Mar 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 WI 2598

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.