Profound Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROFOUND HOME HEALTH CARE

Practice address

12201 W Burleigh St Ste 10
Wauwatosa, WI 53222-3102

Phone

(414) 488-2666

Fax

(414) 488-2713

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Teresa Soles

Title

Administrator

Phone

(414) 488-2666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1306347158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 W BURLEIGH ST STE 10",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223102",
            "telephone_number": "414-488-2666",
            "fax_number": "414-488-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 W BURLEIGH ST STE 10",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223102",
            "telephone_number": "414-488-2666",
            "fax_number": "414-488-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFOUND HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "SOLES",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-488-2666"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wauwatosa, WI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.