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General NPI Number Information
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NPI Number | 1053401869
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Entity Type | Organization
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Legal Business Name | CATALYST, INC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 222 N MIDVALE BLVD STE 8
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City | MADISON
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State | WI
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Zip | 53705-5072
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Country | US
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Telephone | 608-238-8119
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Fax |
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Provider Business Mailing Address
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Address Line | 222 N MIDVALE BLVD STE 8
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City | MADISON
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State | WI
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Zip | 53705-5072
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Country | US
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Telephone | 608-238-8119
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | JACQUELINE PHILPOTT
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Credential | PHD
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Telephone | 608-238-8119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 316
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License Number State | WI
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