Pasoua Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PASOUA HOME CARE, LLC

Practice address

508 W Wisconsin Ave
Suite B
Appleton, WI 54911-4337

Phone

(920) 358-7902

NPI assigned

Jan 25, 2016

Last updated

Jan 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

PA Soua Vue

Title

Owner/Administrator/RN

Phone

(715) 212-7703

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1265899066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W WISCONSIN AVE",
            "address_2": "SUITE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114337",
            "telephone_number": "920-358-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W WISCONSIN AVE",
            "address_2": "SUITE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114337",
            "telephone_number": "920-358-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASOUA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "VUE",
        "authorized_official_first_name": "PA SOUA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR/RN",
        "authorized_official_telephone_number": "715-212-7703"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100037071",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Appleton, WI
• Providers in Appleton, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.