Active NPI
Den Services, Inc.
- In Home Supportive Care Agency
- Waupaca, WI
National Provider Identifier
1023328242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DEN SERVICES, INC.
- Practice address
- 811 Harding St
Waupaca, WI 54981-2012 - Phone
- (715) 258-6356
- Fax
- (715) 258-6409
- NPI assigned
- Oct 21, 2010
- 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
- Mrs. Jayme Krueger
- Title
- Manager
- Phone
- (715) 823-3360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
811 Harding St
Waupaca, WI 54981-2012
Mailing address
7 S Main St
P.O. Box 206
Clintonville, WI 54929-1531
Phone (715) 283-3360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100009383 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1023328242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 S MAIN ST",
"address_2": "P.O. BOX 206",
"city": "CLINTONVILLE",
"state": "WI",
"postal_code": "549291531",
"telephone_number": "715-283-3360",
"fax_number": "715-823-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 HARDING ST",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549812012",
"telephone_number": "715-258-6356",
"fax_number": "715-258-6409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEN SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "KRUEGER",
"authorized_official_first_name": "JAYME",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "715-823-3360",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100009383",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waupaca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.