OrganizationActive
Bv/Mstar Caledonia Tenant, LLC
NPI 1851990436 · Alzheimer Center (Dementia Center) · Racine, WI
Provider details
- NPI number
- 1851990436
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Henry Vaughn, Reimbursement Analyst(240) 595-6025
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5737 Erie St
Racine, WI 53402-1970
Phone: (262) 639-6025
Fax: (262) 639-5279
Approximate (ZIP-level) locationGet directions
Mailing address
5737 Erie St
Racine, WI 53402-1970
Other names (DBA / former)
- Doing business as
- The Woods of Caledonia
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2020-10-23
- Certified
- 2020-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.