Imagine A Child'S Capacity

LBN: Imagine A Child'S Capacity
Imagine A Child'S Capacity is an health care organization with primary practice located at 2875 Fish Hatchery Rd , Fitchburg WI 53713-3114. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Specialist/Technologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Imagine A Child'S Capacity can be contacted via phone (608) 204-6242, or through Johnson, David via phone (608) 316-1127.

Contact Information

Primary practice address
2875 Fish Hatchery Rd Fitchburg WI 53713-3114
Phone: (608) 204-6242
Fax: (608) 204-6249
Website:
Map and Directions
Authorized official contact:
Name: Johnson, David CEO.
Phone: (608) 316-1127

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Wisconsin
Agencies / In Home Supportive Care 253Z00000X Wisconsin
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X Wisconsin

Profile Details

NPI number 1770688970
LBN Legal business name Imagine A Child'S Capacity
DBA Doing business as
Authorized official Johnson, David CEO.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Mar 27th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770688970 NPPES
Wisconsin MEDICAID 41225100

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