Organization Active NPI

Caregiver Connections

  • In Home Supportive Care Agency
  • Stoughton, WI
National Provider Identifier
1235741018
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAREGIVER CONNECTIONS
Practice address
1525 Kenilworth CT Apt 7
Stoughton, WI 53589-1996
Phone
(608) 347-1003
NPI assigned
Aug 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Ms. Fataeshia Clark
Title
Owner
Phone
(608) 347-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1525 Kenilworth CT Apt 7
Stoughton, WI 53589-1996

Mailing address

1525 Kenilworth CT Apt 7
Stoughton, WI 53589-1996

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1235741018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 KENILWORTH CT APT 7",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 KENILWORTH CT APT 7",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891996",
            "telephone_number": "608-347-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVER CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "FATAESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-347-1003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.