OrganizationActive
United Care Homes of Wisconsin LLC
NPI 1790036739 · Intellectual Disabilities Intermediate Care Facility · West Bend, WI
Provider details
- NPI number
- 1790036739
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Glen Herman, Administrator(262) 719-2270
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
338 Municipal Dr
West Bend, WI 53095-3510
Phone: (262) 719-2270
Approximate (ZIP-level) locationGet directions
Mailing address
338 Municipal Dr
West Bend, WI 53095-3510
Registry dates
- Enumerated
- 2012-10-01
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.