Organization Active NPI

Redeeming Hearts Home Care Agency, LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1265976989
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
100064736 Issued in WI
Legal business name
REDEEMING HEARTS HOME CARE AGENCY, LLC
Practice address
3223 W Lloyd St
Milwaukee, WI 53208
Phone
(414) 323-4243
Fax
(414) 323-4243
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Barbara Anderson
Title
Executive Director
Phone
(414) 323-4243

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
In Home Supportive Care Agency 253Z00000X 100064736 WI Primary

Addresses

Primary practice location

3223 W Lloyd St
Milwaukee, WI 53208

Mailing address

3223 W Lloyd St
Milwaukee, WI 53208-1439
Phone (414) 323-4243

Other identifiers 1

IdentifierTypeStateIssuer
100064736MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1265976989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 W LLOYD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081439",
            "telephone_number": "414-323-4243",
            "fax_number": "414-323-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 W LLOYD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53208",
            "telephone_number": "414-323-4243",
            "fax_number": "414-323-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMING HEARTS HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-323-4243"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "100064736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100064736",
            "state": "WI"
        }
    ],
    "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 Sep 13, 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.

Verify at the official NPI Registry.