Copperleaf Home Health Inc

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

COPPERLEAF HOME HEALTH INC

Practice address

1077 Wilshire Blvd
Stevens Point, WI 54481

Phone

(715) 254-4357

Fax

(715) 343-8863

NPI assigned

Dec 31, 2018

Organization subpart

No

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

Authorized official

Name

Krista Mendyke

Title

President/Founder

Phone

(715) 254-4357

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1164994117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 WILSHIRE BLVD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "715-254-4357",
            "fax_number": "715-343-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 WILSHIRE BLVD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "715-254-4357",
            "fax_number": "715-343-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERLEAF HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "MENDYKE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "715-254-4357"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compliance One Labs
• Bria Cook, DPT
• Kristi M Cooley, RD
• London L Cooper, DDS
• Timothy J Cooper, DDS
• Megan B Cordner
• Jeana L. Council, PH.D.
• County of Portage (Portage County Health Care Center)
• County of Portage (Portage County Ambulance)
• County of Portage

• Home Health Aide in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Home Health Aide in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.