Active NPI
Renewed Hope Home Care, LLC
- Home Health Agency
- Milwaukee, WI
National Provider Identifier
1154839504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RENEWED HOPE HOME CARE, LLC
- Practice address
- 5232 W Oklahoma Ave Ste 105
Milwaukee, WI 53219-4503 - Phone
- (414) 585-9603
- Fax
- (414) 585-9608
- NPI assigned
- Jan 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yer Vang
- Title
- Administrator
- Phone
- (414) 585-9603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5232 W Oklahoma Ave Ste 105
Milwaukee, WI 53219-4503
Mailing address
5232 W Oklahoma Ave Ste 105
Milwaukee, WI 53219-4503
Phone (414) 585-9603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100062870 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
5232 W Oklahoma Ave
Ste 105
Milwaukee, WI 53219
Phone (414) 585-9603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516320000000",
"number": "1154839504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5232 W OKLAHOMA AVE STE 105",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532194503",
"telephone_number": "414-585-9603",
"fax_number": "414-585-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5232 W OKLAHOMA AVE STE 105",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532194503",
"telephone_number": "414-585-9603",
"fax_number": "414-585-9608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED HOPE HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A",
"authorized_official_last_name": "VANG",
"authorized_official_first_name": "YER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "414-585-9603"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100062870",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.