Lad Lake, Inc.
NPI 1114196854 · Emotionally Disturbed Childrens' Residential Treatment Facility · Dousman, WI
Lad Lake, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Dousman, WI (NPI 1114196854).
Provider details
- NPI number
- 1114196854
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gary Erdmann, Executive Director(262) 965-2131
- License
- NONE (WI)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2008-02-27
Frequently asked questions
- What is Lad Lake, Inc.'s NPI number?
- Lad Lake, Inc.'s National Provider Identifier (NPI) is 1114196854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lad Lake, Inc.?
- Lad Lake, Inc. is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Lad Lake, Inc. located?
- Lad Lake, Inc.'s practice location on file with NPPES is W350s1401 Waterville Rd, Dousman, WI 53118-9020.
- What is Lad Lake, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lad Lake, Inc. is (262) 965-2131.
- Who is the authorized official for Lad Lake, Inc.?
- The authorized official listed on Lad Lake, Inc.'s NPPES record is Gary Erdmann, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lad Lake, Inc.'s NPI active?
- Yes — Lad Lake, Inc.'s NPI (1114196854) is active in the NPPES registry as of the last update on 2008-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.