Iconicare Fort Atkinson, LLC
NPI 1336790450ActiveOrganization· Assisted Living Facility· Fort Atkinson, WI
Assisted Living Facility in Fort Atkinson, Wisconsin, registered in NPPES in September 2019. The authorized official on file is Tricia Lies, Director Of Financial Services.
Overview
| NPI | 1336790450 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2019 |
| Last updated in NPPES | Sep 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
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 |
|---|
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