Organization Active NPI

Manitowoc Homecare

  • Home Health Agency
  • Manitowoc, WI
National Provider Identifier
1083040919
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MANITOWOC HOMECARE
Practice address
1004 Washington St
Manitowoc, WI 54220-5207
Phone
(920) 684-7155
Fax
(920) 684-8653
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Mr. Jeremy Seidl
Title
Operations Manager
Phone
(920) 684-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1004 Washington St
Manitowoc, WI 54220-5207

Mailing address

1004 Washington St
Manitowoc, WI 54220-5207
Phone (920) 684-7155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1083040919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 WASHINGTON ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205207",
            "telephone_number": "920-684-7155",
            "fax_number": "920-684-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 WASHINGTON ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205207",
            "telephone_number": "920-684-7155",
            "fax_number": "920-684-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOWOC HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "SEIDL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "920-684-7155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.