NPIMap

Organization Active NPI

Calumet County

  • Home Health Agency
  • Chilton, WI
National Provider Identifier
1396736831
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
42 Issued in WI
Legal business name
CALUMET COUNTY
Practice address
206 Court St
Chilton, WI 53014-1198
Phone
(920) 849-1432
Fax
(920) 849-1476
NPI assigned
Nov 3, 2005
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Todd Romenesko
Title
County Administrator
Phone
(920) 849-1448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 42 WI Primary

Addresses

Primary practice location

206 Court St
Chilton, WI 53014-1198

Mailing address

206 Court St
Chilton, WI 53014-1127
Phone (920) 849-1432

Other identifiers 1

IdentifierTypeStateIssuer
41523600MedicaidWI

Other names 1

  • Calumet County Home Healthcare Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100310000013 WI Part A Provider - Home Health Agency 1254347586 Practice locations: Chilton, WI
O20120216000066 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1254347586 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chilton, WI; New Holstein, WI; Kiel, WI; Hilbert, WI; Brillion, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396736831. Details of each certification follow.

Home health agency certification: CCN 527085

Legal name
CALUMET COUNTY
Doing business as
CALUMET COUNTY HHC/HOSPICE AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 1976
Last certification
Apr 28, 2021
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Incorporated
May 29, 1848 in WI
Enrollment address
206 Court St
Chilton, WI 53014-1198
HHA Branch

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Calumet County HHC AgencyCCN 527085 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Jul 20, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Bonnie Kolbe Individual Operational/Managerial ControlHealth Division Manager Apr 9, 2001 100%
Calumet County Organization, Chilton, WI Operational/Managerial Control Jul 20, 1976
Todd Romenesko Individual W-2 Managing EmployeeCounty Administrator Apr 1, 2014 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Healthcare/Hospice AgencyChilton, WI, CCN 521563 Hospice Operational/Managerial Control (100%) Nov 9, 1998

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1396736831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 COURT ST",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141127",
            "telephone_number": "920-849-1432",
            "fax_number": "920-849-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COURT ST",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141198",
            "telephone_number": "920-849-1432",
            "fax_number": "920-849-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALUMET COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ROMENESKO",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
        "authorized_official_telephone_number": "920-849-1448"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41523600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calumet County Home Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chilton, WI

Sources for this page

Verify at the official NPI Registry.