Ccg Tomah Inc.
Ccg Tomah Inc. is a healthcare organization registered as Skilled Nursing Facility in Tomah, WI, holding Type 2 (organization) NPI 1194723205 since 2005. The authorized official on file is Keith Yoder, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194723205 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ccg Tomah Inc. |
| Other name | <Unavail> |
| Practice address | 1505 BUTTS AVE, Tomah, WI, 54660 |
| Phone | 6083723241 |
| Fax | 6083723250 |
| Enumeration date | 2005-07-12 |
| Last updated in NPPES | 2008-01-23 |
Authorized official
| Name | Keith Yoder |
|---|---|
| Title | Cfo |
| Phone | 6144160600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 2825 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20192600 | Medicaid | WI | — |
| 621810991030 | Other | WI | BCBS PROVIDER CODE |
Copy-ready billing details
Provider: Ccg Tomah Inc. NPI: 1194723205 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1505 BUTTS AVE, Tomah, WI, 54660
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083892186 | Orion Tomah LLC | Organization | Skilled Nursing Facility | Tomah, WI |
| 1518234897 | Lori Thomas | Individual | Occupational Therapy Assistant | Tomah, WI |
| 1346599727 | Mj Care Inc. | Organization | Physical Therapy Clinic/Center | Tomah, WI |
| 1134630536 | Zachary Ellis | Individual | Physical Therapist | Tomah, WI |
| 1558833996 | Marissa Toelle | Individual | Occupational Therapy Assistant | Tomah, WI |
| 1497304414 | Nichole Cruse | Individual | Physical Therapist | Tomah, WI |
| 1487275335 | Amy Weninger | Individual | Occupational Therapist | Tomah, WI |
| 1013689827 | Breeanna Townsend | Individual | Occupational Therapy Assistant | Tomah, WI |
Verify this record
Cross-check NPI 1194723205 against the authoritative CMS record: view Ccg Tomah Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Ccg Tomah Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-01-23.