Active NPI
Hospicecare Inc
- Community/Behavioral Health Agency
- Fitchburg, WI
National Provider Identifier
1396911541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1913
- Legal business name
- HOSPICECARE INC
- Practice address
- 5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395 - Phone
- (608) 276-4660
- Fax
- (608) 327-7268
- NPI assigned
- May 7, 2008
- Organization subpart
- Yes
- Parent organization
- HOSPICECARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sarah J Bealles
- Title
- Cfo
- Phone
- (608) 327-7002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1913 | WI | Primary |
Addresses
Primary practice location
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Mailing address
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone (608) 276-4660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42187700 | Medicaid | WI |
Other names 1
- The Grief Center
National Provider Directory
National Provider Directory- Tax ID family
- Hospicecare Inc
- Part of
- Hospicecare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Fitchburg, WI
- NPI 1407154784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1396911541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5395 E CHERYL PKWY",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115395",
"telephone_number": "608-276-4660",
"fax_number": "608-327-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5395 E CHERYL PKWY",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115395",
"telephone_number": "608-276-4660",
"fax_number": "608-327-7268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICECARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOSPICECARE INC",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "BEALLES",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "608-327-7002",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "1913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42187700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Grief Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.