Sumac Residential LLC
NPI 1912214966 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hudson, WI
Sumac Residential LLC is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Hudson, WI (NPI 1912214966).
Provider details
- NPI number
- 1912214966
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Timothy Rusk, Owner(715) 255-0466
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Other names (DBA / former)
- Doing business as
- Blue Jay Assisted Living
Registry dates
- Enumerated
- 2010-09-10
- Last updated
- 2010-09-10
Frequently asked questions
- What is Sumac Residential LLC's NPI number?
- Sumac Residential LLC's National Provider Identifier (NPI) is 1912214966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sumac Residential LLC?
- Sumac Residential LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Sumac Residential LLC located?
- Sumac Residential LLC's practice location on file with NPPES is 723 B Blue Jay Lane, Hudson, WI 54016.
- What is Sumac Residential LLC's phone number?
- The practice phone number listed in the NPPES registry for Sumac Residential LLC is (715) 255-0466.
- Who is the authorized official for Sumac Residential LLC?
- The authorized official listed on Sumac Residential LLC's NPPES record is Timothy Rusk, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sumac Residential LLC's NPI active?
- Yes — Sumac Residential LLC's NPI (1912214966) is active in the NPPES registry as of the last update on 2010-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.