NPIMap

Organization Active NPI

Community Health Resources, LTD.

  • Home Health Agency
  • Park Falls, WI
National Provider Identifier
1083772602
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
27 Issued in WI
Legal business name
COMMUNITY HEALTH RESOURCES, LTD.
Practice address
1133 4TH Ave S
Park Falls, WI 54552-1922
Phone
(715) 762-4600
Fax
(715) 762-2835
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Jane NovitzkeNPI 1508942541
Title
Administrator
Phone
(715) 762-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 27 WI Primary

Addresses

Primary practice location

1133 4TH Ave S
Park Falls, WI 54552-1922

Mailing address

1133 4TH Ave S
PO Box 110
Park Falls, WI 54552-1922
Phone (715) 762-4600

Other identifiers 1

IdentifierTypeStateIssuer
41524800MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1083772602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 4TH AVE S",
            "address_2": "PO BOX 110",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521922",
            "telephone_number": "715-762-4600",
            "fax_number": "715-762-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 4TH AVE S",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521922",
            "telephone_number": "715-762-4600",
            "fax_number": "715-762-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH RESOURCES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "NOVITZKE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-762-4600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41524800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.