Affiliated Home Health Care, Inc.

Key facts

NPI: 1376523548
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
License: 326 (WI)
Legal business name: AFFILIATED HOME HEALTH CARE, INC.
Practice address: 816 W National Ave
Milwaukee, WI 53204-1359
Phone: (414) 389-0371
Fax: (414) 389-9380
NPI assigned: Jan 22, 2006
Organization subpart: No

Authorized official

Name: Mr. Richard William Quirke
Title: President-Ceo
Phone: (414) 529-1251

Medicare Care Compare: Home health agency

Listed as: Affiliated Home Health Care CCN 527257
Overall star rating: ★★★☆☆ 2.5 of 5
Ownership: Proprietary
Certified: Oct 24, 1996
Medicare certification status: Active (Provider of Services file)
Services: Nursing

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WI

Home health agency certification: CCN 527257

Legal name: AFFILIATED HOME HEALTH CARE INC
Certification status: Active
Provider type (POS): Home health agency
Participating since: Oct 24, 1996
Last certification: Nov 18, 2020
Ownership / control type: Proprietary
Organization structure: Corporation · Proprietary
Incorporated: Jul 2, 1992 in WI
Enrollment address: 6737 W Washington St
Ste 2211
West Allis, WI 53214-5642

All disclosed owners & managing parties 3

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

Name	Role	Since	Share
Renee T Schultz Individual	W-2 Managing Employee Sub-Administrator	Feb 27, 2017
Grace E Quirke Individual	5% Or Greater Direct Ownership Interest	Jun 10, 2010	50%
	Corporate Officer Cfo VP Treasurer	Dec 22, 1995	50%
	Corporate Director Cfo VP Treasurer	Dec 22, 1995	50%
	W-2 Managing Employee Cfo VP Treasurer	Dec 22, 1995	50%
	Operational/Managerial Control Cfo VP Treasurer	Dec 22, 1995	50%
Richard W Quirke Individual	5% Or Greater Direct Ownership Interest	Jun 10, 2010	50%
	Corporate Officer Ceo President Secretary	Jul 2, 1992	50%
	Corporate Director Ceo, President, Secretary, Admi	Jul 2, 1992	50%
	W-2 Managing Employee Ceo	Jun 10, 2010	50%
	Operational/Managerial Control Ceo, President, Secretary, Admin	Jul 2, 1992	50%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100622000442	WI	Part a Provider - Home Health Agency	5698806560	Practice locations: West Allis, WI

National Provider Directory

Locations

816 W National Ave
Milwaukee, WI 53204
Phone (414) 389-0371

6737 W Washington St
Ste 2211
West Allis, WI 53214
Phone (414) 389-0371

8550 W National Ave
West Allis, WI 53227
Phone (414) 389-0371

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X	326	WI	Yes

Addresses

Primary practice location

816 W National Ave
Milwaukee, WI 53204-1359

Mailing address

6618 Parkedge Cir
Franklin, WI 53132-1280
Phone (414) 529-1251

Other identifiers

Identifier	Type	State	Issuer
41533000	Medicaid	WI

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Home Health Agency in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.