Organization Active NPI

Full Spectrum Health Services LLC

  • In Home Supportive Care Agency
  • Madison, WI
National Provider Identifier
1316303688
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FULL SPECTRUM HEALTH SERVICES LLC
Doing business as
Genuine Personal Care Services
Practice address
1320 Mendota St
Suite 110
Madison, WI 53714-1096
Phone
(608) 237-3525
NPI assigned
Jan 2, 2016
Organization subpart
Yes
Parent organization
FULL SPECTRUM HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Mrs. Batenga Nassolo Obuseh
Title
Director of Operations
Phone
(608) 210-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1320 Mendota St
Suite 110
Madison, WI 53714-1096

Mailing address

1320 Mendota St
Suite 110
Madison, WI 53714-1096

Other names 1

  • Genuine Personal Care Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL website Direct

National Provider Directory

National Provider Directory

Locations

1320 Mendota St
Ste 110
Madison, WI 53714
Phone (608) 236-3817

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1316303688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MENDOTA ST",
            "address_2": "SUITE 110",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MENDOTA ST",
            "address_2": "SUITE 110",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141096",
            "telephone_number": "608-237-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULL SPECTRUM HEALTH SERVICES LLC",
        "enumeration_date": "2016-01-02",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "OBUSEH",
        "authorized_official_first_name": "BATENGA",
        "authorized_official_middle_name": "NASSOLO",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "608-210-9779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "website",
            "affiliation": "N",
            "endpointDescription": "fshcare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1320 Mendota St",
            "address_2": "Suite 110",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537141096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Genuine Personal Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.