Colonial Club, Inc.
NPI 1033659669ActiveOrganization· Voluntary or Charitable· Sun Prairie, WI
Voluntary or Charitable in Sun Prairie, Wisconsin, registered in NPPES in March 2017. The authorized official on file is Melody Riedel, Executive Director.
Overview
| NPI | 1033659669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2017 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Voluntary or Charitable Primary | 251V00000X | 265-800 | WI |
| Clinic/Center, Adult Day Care | 261QA0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|