OrganizationActive
Prader Willi Homes of Oconomowoc LLC
NPI 1396891875 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oconomowoc, WI
Provider details
- NPI number
- 1396891875
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Melissa Schmieder, Controller(262) 569-5515
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1746 Executive Drive
Oconomowoc, WI 53066
Phone: (262) 569-5515
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 278
Dousman, WI 53118
Other names (DBA / former)
- Doing business as
- Prader Willi Homes of Oconomowoc
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2024-07-18
- Certified
- 2024-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.