NPIMap

Organization Active NPI

Holy Family Memorial Inc

Doing business as Froedtert Holy Family Memorial

  • Home Health Agency
  • Manitowoc, WI
National Provider Identifier
1174629075
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
143 Issued in WI
Legal business name
HOLY FAMILY MEMORIAL INC
Doing business as
Froedtert Holy Family Memorial
Practice address
1520 S 41St St
Manitowoc, WI 54220-7312
Phone
(920) 320-4201
Fax
(920) 320-5135
NPI assigned
Sep 16, 2006
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLY FAMILY MEMORIAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Brian Graf
Title
Vice President
Phone
(920) 320-3451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 143 WI Primary

Addresses

Primary practice location

1520 S 41St St
Manitowoc, WI 54220-7312

Mailing address

N74W12501 Leatherwood CT
Menomonee Falls, WI 53051-4490

Other names 1

  • Froedtert Holy Family Memorial Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100907000702 WI Part A Provider - Home Health Agency 0648183160 Practice locations: Manitowoc, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174629075. Details of each certification follow.

Home health agency certification: CCN 527154

Legal name
HOLY FAMILY MEMORIAL INC
Doing business as
FROEDTERT HOLY FAMILY MEMORIAL HOME CARE
Certification status
Terminated Involuntary: failure to meet agreement, Feb 25, 2026
Provider type (POS)
Home health agency
Participating since
Jul 5, 1985
Last certification
Apr 4, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 1920 in WI
Enrollment address
1520 S 41St St
Manitowoc, WI 54220-7312

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Froedtert Holy Family Memorial Home CareCCN 527154 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Jul 5, 1985
Medicare certification status
Terminated Involuntary: failure to meet agreement, Feb 25, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Holy Family Memorial Inc4 organizations share this tax ID, including this one
Part of
Holy Family Memorial Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1520 S 41st St
Manitowoc, WI 54220
Phone (920) 320-4201

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Froedtert Thedacare Health, Inc. Organization, Milwaukee, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2021 80%
Candice Giesen Individual Corporate DirectorBoard Member Mar 27, 2019
Brian J Graf Individual Corporate OfficerVice President Sep 26, 2025
W-2 Managing EmployeeVice President Mar 1, 2025
Milan Jordan Individual Corporate DirectorBoard Member Oct 1, 2024
Thomas Veeser Individual Corporate DirectorChief Nursing Officer, Board Member Mar 1, 2021
Matthew T Wille Individual Corporate DirectorBoard Member Nov 1, 2024
Dale Gisi Individual Corporate DirectorBoard Member Nov 1, 2024
Franciscan Sisters of Christian Charity Sponsored Ministries Inc Organization, Manitowoc, WI Non-profit 5% Or Greater Direct Ownership Interest Oct 30, 1985 20%
HFM Holding LLC Organization, Milwaukee, WI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 1, 2021 80%
Operational/Managerial Control Mar 1, 2021
Holy Family Convent of Franciscan Sisters of Christian Charity Inc Organization, Manitowoc, WI Created for acquisition, Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 30, 1985 20%
William Flett Individual Corporate DirectorBoard Member Dec 4, 2024
Brandon Gerald Bartow Individual Corporate DirectorBoard Member Jul 1, 2023
Nancy Kinate Individual Corporate DirectorBoard Member Mar 26, 2018
Paul Carlsen Individual Corporate DirectorBoard Member Jul 1, 2023
Genny Shields Individual Corporate DirectorBoard Member Mar 1, 2021
Mary Maher Individual Corporate DirectorBoard Member Mar 26, 2018
Chuck Krueger Individual Corporate DirectorBoard Member Mar 1, 2021
Frank Soltys Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1174629075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S 41ST ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542207312",
            "telephone_number": "920-320-4201",
            "fax_number": "920-320-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY MEMORIAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY FAMILY MEMORIAL INC",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "920-320-3451"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert Holy Family Memorial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

Verify at the official NPI Registry.