Provider Demographics
NPI:1891052148
Name:VISIONS OF NEW, LLC
Entity Type:Organization
Organization Name:VISIONS OF NEW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-834-7770
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:OCONTO FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54154-0966
Mailing Address - Country:US
Mailing Address - Phone:920-834-7770
Mailing Address - Fax:920-834-6353
Practice Address - Street 1:5739 DUAME RD
Practice Address - Street 2:
Practice Address - City:LENA
Practice Address - State:WI
Practice Address - Zip Code:54139-9172
Practice Address - Country:US
Practice Address - Phone:920-834-7770
Practice Address - Fax:920-834-6353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100013819Medicaid