Kindred Spirits Home Health Agency LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KINDRED SPIRITS HOME HEALTH AGENCY LLC

Practice address

611 4TH St
Centuria, WI 54824-9032

Phone

(715) 220-0897

NPI assigned

Jan 29, 2013

Last updated

Jan 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Drewelow

Title

Co Owner

Phone

(715) 220-0897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1023356896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 4TH ST",
            "city": "CENTURIA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "715-220-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 4TH ST",
            "city": "CENTURIA",
            "state": "WI",
            "postal_code": "548249032",
            "telephone_number": "715-220-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED SPIRITS HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "DREWELOW",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "715-220-0897"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Centuria, WI
• Providers in Centuria, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.