Medicaid
NPI 1336109776ActiveOrganization· Custodial Care Facility· Menasha, WI
Custodial Care Facility in Menasha, Wisconsin, registered in NPPES in March 2006. The authorized official on file is Lori Ann Farragh, Rn.
Overview
| NPI | 1336109776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | WI |
| Skilled Nursing Facility, Nursing Care, Pediatric | 3140N1450X | — | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|