Medicaid

Medicaid is a healthcare organization registered as Custodial Care Facility in Menasha, WI, holding Type 2 (organization) NPI 1336109776 since 2006. The authorized official on file is Lori Farragh, Rn.

✓ Active NPI ✓ Valid NPI checksum

NPI	1336109776
Entity type	Organization (Type 2)
Legal business name	Medicaid
Practice address	1125 GENEVA RD, Menasha, WI, 54952
Phone	9204508323
Enumeration date	2006-03-27
Last updated in NPPES	2025-09-11

Authorized official

Name	Lori Farragh
Title	Rn
Phone	9204508323

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
3140N1450X	Pediatric Skilled Nursing Facility	Secondary	—	WI
311Z00000X	Custodial Care Facility	Primary	—	WI

Copy-ready billing details

Provider: Medicaid
NPI: 1336109776
Taxonomy: 311Z00000X (Custodial Care Facility)
Address: 1125 GENEVA RD, Menasha, WI, 54952

Verify this record

Cross-check NPI 1336109776 against the authoritative CMS record: view Medicaid 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

Where is Medicaid located?

The practice location on file with NPPES is in Menasha, WI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.