Organization Active NPI

WCSC Racine LLC

Doing business as Home Instead

  • In Home Supportive Care Agency
  • Racine, WI
National Provider Identifier
1447893094
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WCSC RACINE LLC
Doing business as
Home Instead
Practice address
6011 Durand Ave Ste 500
Racine, WI 53406-5063
Phone
(262) 598-0290
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
James Nooyen
Title
Vice President of Finance
Phone
(920) 442-4472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6011 Durand Ave Ste 500
Racine, WI 53406-5063

Mailing address

PO Box 28589
Green Bay, WI 54324-0589

Other practice location 1

425 Milwaukee Ave Ste B
Burlington, WI 53105-1252
Phone (262) 661-5967

Other names 1

  • Home Instead Doing business as

National Provider Directory

National Provider Directory

Locations

425 Milwaukee Ave
Ste B
Burlington, WI 53105
Phone (262) 661-5967

6011 Durand Ave
Ste 500
Mount Pleasant, WI 53406
Phone (262) 598-0290

2616 Lathrop Ave
Racine, WI 53405
Phone (262) 598-0290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1447893094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28589",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543240589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 DURAND AVE STE 500",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065063",
            "telephone_number": "262-598-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Milwaukee Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WI",
            "postal_code": "531051252",
            "country_code": "US",
            "telephone_number": "262-661-5967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WCSC RACINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "NOOYEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "920-442-4472"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.