OrganizationActive
Cleveland Va Cboc
NPI 1063439966 · Licensed Practical Nurse · Cleveland, WI
Cleveland Va Cboc is a Licensed Practical Nurse organization in Cleveland, WI (NPI 1063439966).
Provider details
- NPI number
- 1063439966
- Entity type
- Organization
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Stacey Hibbard, LPN(920) 693-5600
- License
- 18107-031 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1205 North Ave
Cleveland, WI 53015-1413
Phone: (188) 846-9661
Street-level locationGet directions
Mailing address
631 Mark Ave
Sheboygan Falls, WI 53085-1721
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Cleveland Va Cboc's NPI number?
- Cleveland Va Cboc's National Provider Identifier (NPI) is 1063439966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cleveland Va Cboc?
- Cleveland Va Cboc is classified in the NPPES registry as Licensed Practical Nurse (Nursing Service Providers).
- Where is Cleveland Va Cboc located?
- Cleveland Va Cboc's practice location on file with NPPES is 1205 North Ave, Cleveland, WI 53015-1413.
- What is Cleveland Va Cboc's phone number?
- The practice phone number listed in the NPPES registry for Cleveland Va Cboc is (188) 846-9661.
- Who is the authorized official for Cleveland Va Cboc?
- The authorized official listed on Cleveland Va Cboc's NPPES record is Stacey Hibbard, LPN. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cleveland Va Cboc's NPI active?
- Yes — Cleveland Va Cboc's NPI (1063439966) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.