Organization Active NPI

Healing Home Care LLC

  • Adult Care Home Facility
  • Menasha, WI
National Provider Identifier
1447156039
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HEALING HOME CARE LLC
Practice address
1125 Lawndale Dr
Menasha, WI 54952-2081
Phone
(920) 558-0623
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Fadumo Mohamed
Title
Owner
Phone
(920) 558-0623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1125 Lawndale Dr
Menasha, WI 54952-2081

Mailing address

1125 Lawndale Dr
Menasha, WI 54952-2081
Phone (920) 558-0623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1447156039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 LAWNDALE DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522081",
            "telephone_number": "920-558-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 LAWNDALE DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522081",
            "telephone_number": "920-558-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-558-0623"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.