Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jodi Ann Buckett Vanwormer

Individual provider Adult Care Home Facility · NPI 1780411983

Mrs. Jodi Ann Buckett Vanwormer is an Adult Care Home Facility in Elkhorn, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

W3928 Potter Rd
Elkhorn, WI 53121-4041
Phone: (262) 723-1936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 0010620 (WI)

Record details

NPI number1780411983
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024