NPIMap

Organization Active NPI

Clean House Health Care & Associate

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1255505970
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLEAN HOUSE HEALTH CARE & ASSOCIATE
Practice address
5875 N 60TH St
Milwaukee, WI 53218-2042
Phone
(414) 519-8949
Fax
(414) 519-8949
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mary L BushNPI 1235303975
Title
Owner
Phone
(414) 519-8949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X

Addresses

Primary practice location

5875 N 60TH St
Milwaukee, WI 53218-2042

Mailing address

5875 N 60TH St
Milwaukee, WI 53218-2042
Phone (414) 519-8949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1255505970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182042",
            "telephone_number": "414-519-8949",
            "fax_number": "414-519-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182042",
            "telephone_number": "414-519-8949",
            "fax_number": "414-519-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN HOUSE HEALTH CARE & ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-519-8949"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.