NPIMap

Organization Active NPI

HHA of Wisconsin, LLC

  • Home Health Agency
  • Green Bay, WI
National Provider Identifier
1356798375
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HHA OF WISCONSIN, LLC
Practice address
2100 Riverside Dr Ste 103
Green Bay, WI 54301-2375
Phone
(920) 498-0606
Fax
(920) 498-9421
NPI assigned
May 19, 2016
Organization subpart
Yes
Parent organization
HHA OF WISCONSIN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2100 Riverside Dr Ste 103
Green Bay, WI 54301-2375

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other identifiers 1

IdentifierTypeStateIssuer
100061677MedicaidWI

Other names 1

  • Almost Family Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160706000539 WI Part A Provider - Home Health Agency 0547550022 Practice locations: Fond Du Lac, WI; Green Bay, WI; Oconto, WI; Chilton, WI

Home health agency certification: CCN 527094

Legal name
HHA OF WISCONSIN, LLC
Doing business as
ALMOST FAMILY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 1, 1978
Last certification
Dec 16, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 3, 2016 in WI
Enrollment address
2100 Riverside Dr
Ste 103
Green Bay, WI 54301-2375

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Almost FamilyCCN 527094
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Sep 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2121695HHA of Wisconsin, LLC D/B/a Almost Family2100 Riverside Drive, Suite 103, Green Bay, WI 54301Certificate of waiverNov 10, 2026

National Provider Directory

National Provider Directory
Tax ID family
HHA of Wisconsin LLC3 organizations share this tax ID, including this one
Part of
HHA of Wisconsin LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3615 N Hastings Way
Ste 100A
Eau Claire, WI 54703
Phone (715) 831-0631

2100 Riverside Dr
Ste 103
Green Bay, WI 54301
Phone (920) 435-5500

5068 US Highway 141
Ste 1105
Oconto, WI 54153

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident / Cfo Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jun 18, 2016 100%
Jennifer Shipley Individual W-2 Managing EmployeeAdministrator / Director of Nursing Feb 15, 2020
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Jun 18, 2016 100%

Facilities with the same owner 111

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1356798375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RIVERSIDE DR STE 103",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012375",
            "telephone_number": "920-498-0606",
            "fax_number": "920-498-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHA OF WISCONSIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HHA OF WISCONSIN, LLC",
        "enumeration_date": "2016-05-19",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100061677",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Almost Family",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Almost Family",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.