Oconomowoc Devemopmental Training Center Ll
NPI 1013240696 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dousman, WI
Oconomowoc Devemopmental Training Center Ll is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Dousman, WI (NPI 1013240696).
Provider details
- NPI number
- 1013240696
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Oconomowoc Devemopmental Training Center LLC
- Organization subpart
- Yes
- Authorized official
- M. Frisk, Vice President(262) 569-5515
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Cory House Group Home
Registry dates
- Enumerated
- 2009-09-14
- Last updated
- 2009-09-14
Frequently asked questions
- What is Oconomowoc Devemopmental Training Center Ll's NPI number?
- Oconomowoc Devemopmental Training Center Ll's National Provider Identifier (NPI) is 1013240696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oconomowoc Devemopmental Training Center Ll?
- Oconomowoc Devemopmental Training Center Ll is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Oconomowoc Devemopmental Training Center Ll located?
- Oconomowoc Devemopmental Training Center Ll's practice location on file with NPPES is 201-203 Cory Ave., Dousman, WI 53118.
- What is Oconomowoc Devemopmental Training Center Ll's phone number?
- The practice phone number listed in the NPPES registry for Oconomowoc Devemopmental Training Center Ll is (262) 569-5515.
- Who is the authorized official for Oconomowoc Devemopmental Training Center Ll?
- The authorized official listed on Oconomowoc Devemopmental Training Center Ll's NPPES record is M. Frisk, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oconomowoc Devemopmental Training Center Ll's NPI active?
- Yes — Oconomowoc Devemopmental Training Center Ll's NPI (1013240696) is active in the NPPES registry as of the last update on 2009-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.