Medicaid
NPI 1336109776 · Custodial Care Facility · Menasha, WI
Medicaid is a Custodial Care Facility organization in Menasha, WI (NPI 1336109776).
Provider details
- NPI number
- 1336109776
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lori Farragh, RN(920) 450-8323
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Pediatric Skilled Nursing Facility3140N1450X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-03-27
- Last updated
- 2025-09-11
Frequently asked questions
- What is Medicaid's NPI number?
- Medicaid's National Provider Identifier (NPI) is 1336109776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicaid?
- Medicaid is classified in the NPPES registry as Custodial Care Facility (Nursing & Custodial Care Facilities).
- Where is Medicaid located?
- Medicaid's practice location on file with NPPES is 1125 Geneva Rd, Menasha, WI 54952-1505.
- What is Medicaid's phone number?
- The practice phone number listed in the NPPES registry for Medicaid is (920) 450-8323.
- Who is the authorized official for Medicaid?
- The authorized official listed on Medicaid's NPPES record is Lori Farragh, RN. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicaid's NPI active?
- Yes — Medicaid's NPI (1336109776) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.