NPIMap

Organization Active NPI

County of Columbia

  • Home Health Agency
  • Portage, WI
National Provider Identifier
1215102256
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTY OF COLUMBIA
Practice address
111 E Mullett St
Portage, WI 53901-2325
Phone
(608) 742-9227
Fax
(608) 742-9700
NPI assigned
Apr 29, 2008
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Mrs. Heather J Gove, CSW, LPC
Title
Director
Phone
(608) 742-9215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

111 E Mullett St
Portage, WI 53901-2325

Mailing address

2652 Murphy Rd
P. O. Box 136
Portage, WI 53901-1094
Phone (608) 742-9227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000733 WI Part B Supplier - Mass Immunization (Roster Biller Only) 5092608950 Practice locations: Portage, WI

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Columbia Cty Com HLTH S11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Columbia Health Care CenterWyocena, WI, CCN 525372 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 22, 2011
Nov 22, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Columbia

    dba Columbia Health Care Center

    • Skilled Nursing Facility
    • Wyocena, WI
    • NPI 1831101864

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1215102256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 MURPHY RD",
            "address_2": "P. O. BOX 136",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011094",
            "telephone_number": "608-742-9227",
            "fax_number": "608-742-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MULLETT ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012325",
            "telephone_number": "608-742-9227",
            "fax_number": "608-742-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "GOVE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-742-9215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSW, LPC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

Verify at the official NPI Registry.