Ccg Prescott, Inc
Ccg Prescott, Inc is a healthcare organization registered as Skilled Nursing Facility in Prescott, WI, holding Type 2 (organization) NPI 1922090521 since 2005. The authorized official on file is Keith Yoder, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1922090521 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ccg Prescott, Inc |
| Other name | <Unavail> |
| Practice address | 1505 ORRIN RD, Prescott, WI, 54021 |
| Phone | 7152625661 |
| Fax | 7152624899 |
| Enumeration date | 2005-08-19 |
| 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 | 3249 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20195300 | Medicaid | WI | — |
Copy-ready billing details
Provider: Ccg Prescott, Inc NPI: 1922090521 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1505 ORRIN RD, Prescott, WI, 54021
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1982882080 | Orion Prescott LLC | Organization | Skilled Nursing Facility | Prescott, WI |
| 1841595519 | Barbara Hutchinson | Individual | Physical Therapy Assistant | Prescott, WI |
| 1780969428 | Alisa Garr | Individual | Speech-Language Pathologist | Prescott, WI |
| 1083982565 | Spencer Blackie | Individual | Physical Therapist | Prescott, WI |
| 1477987956 | Melissa Merth | Individual | Occupational Therapy Assistant | Prescott, WI |
| 1407250368 | Kaeleigh Adami | Individual | Physical Therapist | Prescott, WI |
| 1992160535 | Molly Kapping | Individual | Speech-Language Pathologist | Prescott, WI |
| 1124528393 | Morgan Williamson | Individual | Occupational Therapy Assistant | Prescott, WI |
Verify this record
Cross-check NPI 1922090521 against the authoritative CMS record: view Ccg Prescott, 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
How current is this record?
Where is Ccg Prescott, Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-01-23.