Country Grove Home LLC
NPI 1306162706 · Assisted Living Facility (Mental Illness) · Necedah, WI
Country Grove Home LLC is a Assisted Living Facility (Mental Illness) organization in Necedah, WI (NPI 1306162706).
Provider details
- NPI number
- 1306162706
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Peak, Owner(608) 547-2755
- License
- 0011011 (WI)
Specialties & taxonomies
Nursing & Custodial Care 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
Registry dates
- Enumerated
- 2010-04-12
- Last updated
- 2010-04-12
Frequently asked questions
- What is Country Grove Home LLC's NPI number?
- Country Grove Home LLC's National Provider Identifier (NPI) is 1306162706, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Grove Home LLC?
- Country Grove Home LLC is classified in the NPPES registry as Assisted Living Facility (Mental Illness) (Nursing & Custodial Care Facilities).
- Where is Country Grove Home LLC located?
- Country Grove Home LLC's practice location on file with NPPES is N11151 17th Ave, Necedah, WI 54646-7619.
- What is Country Grove Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Country Grove Home LLC is (608) 565-2735.
- Who is the authorized official for Country Grove Home LLC?
- The authorized official listed on Country Grove Home LLC's NPPES record is Scott Peak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Grove Home LLC's NPI active?
- Yes — Country Grove Home LLC's NPI (1306162706) is active in the NPPES registry as of the last update on 2010-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.