Healthcare Provider Details

I. General information

NPI: 1295667368
Provider Name (Legal Business Name): WESTLAND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 N GAMMON RD
MADISON WI
53717-1195
US

IV. Provider business mailing address

1112 N GAMMON RD
MADISON WI
53717-1195
US

V. Phone/Fax

Practice location:
  • Phone: 608-203-5803
  • Fax:
Mailing address:
  • Phone: 608-203-5803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SALIM MOHAMUD
Title or Position: DIRECTOR
Credential: OWNER
Phone: 614-589-8807