Bago Shore Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BAGO SHORE ENTERPRISES LLC

Doing business as

Home Helpers Home Care of Oshkosh

Practice address

238 Roosevelt St
Fond Du Lac, WI 54935-3646

Phone

(309) 824-4247

NPI assigned

Feb 16, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyson Wrezinski

Title

Ceo

Phone

(309) 824-4247

Specialties & licenses 1

Addresses

Other names 1

• Home Helpers Home Care of Oshkosh Doing business as

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1376241612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 ROOSEVELT ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 ROOSEVELT ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353646",
            "telephone_number": "309-824-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGO SHORE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "WREZINSKI",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-824-4247"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers Home Care of Oshkosh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.