Clear Water Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLEAR WATER HOME CARE LLC

Practice address

1729 Westgate Rd
Eau Claire, WI 54703-4964

Phone

(715) 514-1520

Fax

(715) 514-1668

NPI assigned

Aug 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yer Y Xiong, BSN

Title

Administrator

Phone

(715) 514-1520

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1013393875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 WESTGATE RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034964",
            "telephone_number": "715-514-1520",
            "fax_number": "715-514-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 WESTGATE RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034964",
            "telephone_number": "715-514-1520",
            "fax_number": "715-514-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "YER",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-514-1520",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100029815",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Eau Claire
• Michael T Claessens, MD
• Margaret Clancy
• Daniel M Clark, MD
• Mary Beth Clark, SLP
• Clear Water Therapy, LLC
• Clearsky Rehabilitation Hospital of Eau Claire LLC
• Clearwater Assisted Living
• Clearwater Care Center, LLC
• Clearwater Chiropractic LLC

• In Home Supportive Care Agency in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.