Organization Active NPI

Res-Care Wisconsin, Inc.

  • Home Health Agency
  • Marinette, WI
National Provider Identifier
1053646117
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RES-CARE WISCONSIN, INC.
Practice address
3900 Hall Ave Ste a
Marinette, WI 54143-1062
Phone
(800) 866-0860
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X WI Primary

Addresses

Primary practice location

3900 Hall Ave Ste a
Marinette, WI 54143-1062

Mailing address

9901 Linn Station Rd
Louisville, KY 40223-3808
Phone (800) 866-0860

Other identifiers 1

IdentifierTypeStateIssuer
41535300MedicaidWI

Other names 1

  • RCHC Marinette Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

3900 Hall Ave
Ste A
Marinette, WI 54143
Phone (715) 735-6490

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 18, 2016 Change of OwnershipThis provider was the seller Almost FamilyCCN 527272, WI, NPI 1659728616

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1053646117",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HALL AVE STE A",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431062",
            "telephone_number": "800-866-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RES-CARE WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "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": "41535300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCHC Marinette",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

Verify at the official NPI Registry.