Medicaid
Medicaid is a Custodial Care Facility in Menasha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1125 Geneva RdMenasha, WI 54952-1505
Phone: (920) 450-8323
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Custodial Care Facility (primary) | Taxonomy 311Z00000X (WI) |
|---|---|
| Pediatric Skilled Nursing Facility | Taxonomy 3140N1450X (WI) |
Record details
| NPI number | 1336109776 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lori Farragh — Rn · (920) 450-8323 |
| NPI enumerated | March 27, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 1125 Geneva Rd, Menasha, WI 54952-1505 |