Active NPI
Gundersen Hospital at Home LLC
- Case Management Agency
- La Crosse, WI
National Provider Identifier
1225634009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- GUNDERSEN HOSPITAL AT HOME LLC
- Practice address
- 1910 South Ave
La Crosse, WI 54601-5467 - Phone
- (608) 782-7300
- NPI assigned
- Dec 8, 2020
- 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
- Elisa Harris
- Title
- General Counsel
- Phone
- (615) 491-8070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1910 South Ave
La Crosse, WI 54601-5467
Mailing address
49 Music SQ W Ste 401
Nashville, TN 37203-3287
Phone (615) 635-0294
National Provider Directory
National Provider DirectoryLocations
1900 South Ave
Ste 401
La Crosse, WI 54601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619740800000",
"number": "1225634009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 MUSIC SQ W STE 401",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372033287",
"telephone_number": "615-635-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015467",
"telephone_number": "608-782-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUNDERSEN HOSPITAL AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "ELISA",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "615-491-8070"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.