Active NPI
Redeeming Hearts Home Care Agency, LLC
- In Home Supportive Care Agency
- Milwaukee, WI
National Provider Identifier
1265976989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 100064736
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100064736 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI 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.