NPIMap

Organization Active NPI

Hhu Xtra Care Inc

Doing business as SSM Health at Home Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Madison, WI
National Provider Identifier
1326337106
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
9355-42 Issued in WI
Legal business name
HHU XTRA CARE INC
Doing business as
SSM Health at Home Infusion Pharmacy
Practice address
4639 Hammersley Rd
Madison, WI 53711-2706
Phone
(608) 223-7950
Fax
(800) 355-9429
NPI assigned
Apr 1, 2011
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Audrey Rufenacht
Title
Interim System Director of Pharmacy
Phone
(608) 223-7951

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X 9355-42 WI Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

4639 Hammersley Rd
Madison, WI 53711-2706

Mailing address

4639 Hammersley Rd
Madison, WI 53711-2706
Phone (608) 223-7950

Other identifiers 2

IdentifierTypeStateIssuer
1326337106MedicaidWI
2129438OtherPK

Other names 1

  • SSM Health at Home Infusion Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121113000548 WI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3375431281 Practice locations: Madison, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hhu Xtra Care Inc4639 Hammersley Rd, Madison, WI 53711-2706(608) 223-7950 Epoetin|Immunosuppressive Drugs|Infusion Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Aug 30, 2003

National Provider Directory

National Provider Directory

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2475 Milton Ave
Janesville, WI 53545
Phone (608) 758-4141

128 E Olin Ave
Madison, WI 53713
Phone (608) 252-1320

4801 Hayes Rd
Madison, WI 53704
Phone (608) 241-1516

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1326337106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 HAMMERSLEY RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112706",
            "telephone_number": "608-223-7950",
            "fax_number": "800-355-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 HAMMERSLEY RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112706",
            "telephone_number": "608-223-7950",
            "fax_number": "800-355-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHU XTRA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "RUFENACHT",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "INTERIM SYSTEM DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "608-223-7951"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "WI",
            "license": "9355-42",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326337106",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health at Home Infusion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health at Home Infusion Pharmacy",
            "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 May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.