Active NPI
Res-Care Wisconsin, Inc.
- Home Health Agency
- Oshkosh, WI
National Provider Identifier
1003072091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RES-CARE WISCONSIN, INC.
- Practice address
- 2020 W 9TH Ave
Oshkosh, WI 54903-2128 - Phone
- (800) 866-0860
- NPI assigned
- Jul 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deena Ombres
- Title
- Privacy Officer
- Phone
- (502) 394-2387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | WI | Primary |
Addresses
Primary practice location
2020 W 9TH Ave
Oshkosh, WI 54903-2128
Mailing address
9901 Linn Station Rd
Louisville, KY 40223-3808
Phone (800) 866-0860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41505900 | Medicaid | WI |
Other names 1
- RCHC Oshkosh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2020 W 9th Ave
Oshkosh, WI 54904
Phone (920) 233-2080
Ownership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Olivia Kirtley | Corporate Director | May 7, 2009 | |
| Kevin G Fisher | Corporate Officer | Apr 29, 2011 | |
| Paul Dunn | Corporate Director | May 7, 2009 | |
| Patrick G Kelley | Corporate Officer | Jun 23, 2008 | |
| Corporate Director | Jun 23, 2008 | 25% | |
| Corporate Officer | Jun 23, 2008 | 25% | |
| David Braddock | Corporate Director | May 7, 2009 | |
| Ronald Geary | Corporate Director | May 7, 2009 | |
| James H Bloem | Corporate Director | May 7, 2009 | |
| Robert M Leblanc | Corporate Director | May 7, 2009 | |
| Steven S Reed | Corporate Officer | May 2, 2016 | 100% |
| Brightspring Health Holdings Corp | 5% Or Greater Indirect Ownership Interest | Dec 22, 2010 | |
| John Dennis Humble | Corporate Director | May 7, 2009 | |
| Res-Care Inc | 5% Or Greater Direct Ownership Interest | Mar 6, 1998 | 100% |
| William Brock | Corporate Director | May 7, 2009 | |
| Marilyn Hannagan | W-2 Managing Employee | Nov 1, 2010 | |
| David W Miles | Corporate Officer | Jun 23, 2008 | |
| Corporate Director | Jun 23, 2008 | 25% | |
| Corporate Officer | Jun 23, 2008 | ||
| Melissa Bardo | W-2 Managing Employee | Jan 31, 2012 | 100% |
| David Waskey | Corporate Officer | Jun 23, 2008 | |
| David D Rhodes | Corporate Director | Oct 8, 2010 | 25% |
| Tamara L Barta | Corporate Director | Oct 8, 2010 | 25% |
| Ralph Gronefeld | Corporate Director | May 7, 2009 | |
| Robert Hallagan | Corporate Director | May 7, 2009 | |
| Kimberly Wing | W-2 Managing Employee | Jan 31, 2012 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1003072091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 LINN STATION RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233808",
"telephone_number": "800-866-0860",
"fax_number": "502-420-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W 9TH AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549032128",
"telephone_number": "800-866-0860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RES-CARE WISCONSIN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-30",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "OMBRES",
"authorized_official_first_name": "DEENA",
"authorized_official_title_or_position": "PRIVACY OFFICER",
"authorized_official_telephone_number": "502-394-2387",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41505900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RCHC Oshkosh",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.