OrganizationActive
Vista Care Colorado, LLC
NPI 1174211767 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sheboygan, WI
Provider details
- NPI number
- 1174211767
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Timothy Frey, Owner(920) 694-1102
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
708 Erie Ave Ste 201
Sheboygan, WI 53081-4060
Phone: (920) 694-1102
Approximate (ZIP-level) locationGet directions
Mailing address
708 Erie Ave Ste 201
Sheboygan, WI 53081-4060
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.