St Marys Home Health Care of Wisconsin

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1079 Issued in WI

Legal business name

ST MARYS HOME HEALTH CARE OF WISCONSIN

Practice address

4265 W Fond Du Lac Ave
Milwaukee, WI 53216-3527

Phone

(414) 874-1733

Fax

(414) 874-1737

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothy D Everette, HOME CARE

Title

Office Manager

Phone

(414) 874-1733

Specialties & licenses 1

Addresses

Other names 1

• st marys home health care Former legal business name

Locations

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1225209703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163527",
            "telephone_number": "414-874-1733",
            "fax_number": "414-874-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163527",
            "telephone_number": "414-874-1733",
            "fax_number": "414-874-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS HOME HEALTH CARE OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "EVERETTE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-874-1733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HOME CARE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "st marys home health care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.