Aah of Wisconsin I, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AAH OF WISCONSIN I, LLC

Practice address

134 W Columbia St Ste 2
Chippewa Falls, WI 54729-2347

Phone

(715) 861-8353

Fax

(715) 203-0273

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Russell Adkins

Title

SVP, Chief Legal Officer

Phone

(615) 309-5668

Specialties & licenses 2

Addresses

Other names 1

• Compassus Home Health Doing business as

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1285324459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-637-9163",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W COLUMBIA ST STE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292347",
            "telephone_number": "715-861-8353",
            "fax_number": "715-203-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAH OF WISCONSIN I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-309-5668"
    },
    "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": [
        {
            "organization_name": "Compassus Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly S Abraham, LPN 305735031
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• Tyler D Adamczak, APNP
• Randall M Adams, D.C.
• All Family Dental Chippewa Falls LLC

• All providers in Chippewa Falls, WI
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.