Homes for Independent Living of Wisconsin LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOMES FOR INDEPENDENT LIVING OF WISCONSIN LLC

Doing business as

Homes For Independent Living HIL

Practice address

1746 Executive Drive
Oconomowoc, WI 53066

Phone

(262) 569-5515

Fax

(262) 569-9962

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. M Deborah Frisk, MSW

Title

Vice President

Phone

(262) 569-5515

Specialties & licenses 1

Addresses

Other names 1

• Homes For Independent Living HIL Doing business as

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306975289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "DOUSMAN",
            "state": "WI",
            "postal_code": "53118",
            "telephone_number": "262-569-5515",
            "fax_number": "262-569-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 EXECUTIVE DRIVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "53066",
            "telephone_number": "262-569-5515",
            "fax_number": "262-569-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMES FOR INDEPENDENT LIVING OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRISK",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-569-5515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homes For Independent Living HIL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen M. Hoffman, MSW, LCSW
• Mark Hohenwald, CSW
• Lauren J Hollandsworth, DO
• Raina L Hollenbaugh, M.D.
• Charles Todd Holsen, DDS
• Mary E Horner, NP
• Kayla Housh-Kornowski, LPC
• Mary Jo Houston, RPH
• Howard V. Elconin, M.D., S.C.
• Brooke Huckabay, LPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.