Organization Active NPI

Cna Professional Services, L.L.P.

  • In Home Supportive Care Agency
  • Boyceville, WI
National Provider Identifier
1114151487
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CNA PROFESSIONAL SERVICES, L.L.P.
Practice address
E1602 1198TH Ave
Boyceville, WI 54725-9434
Phone
(715) 643-4068
NPI assigned
May 14, 2009
Last updated
May 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Mrs. Sandra Ethel Smith, RN
Title
RN
Phone
(715) 643-4068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

E1602 1198TH Ave
Boyceville, WI 54725-9434

Mailing address

E1602 1198TH Ave
Boyceville, WI 54725-9434
Phone (715) 643-4068

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1114151487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E1602 1198TH AVE",
            "city": "BOYCEVILLE",
            "state": "WI",
            "postal_code": "547259434",
            "telephone_number": "715-643-4068",
            "fax_number": "715-643-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E1602 1198TH AVE",
            "city": "BOYCEVILLE",
            "state": "WI",
            "postal_code": "547259434",
            "telephone_number": "715-643-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNA PROFESSIONAL SERVICES, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ETHEL",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "715-643-4068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyceville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.