Active NPI
Avid at Home LLC
- Home Health Agency
- Hartland, WI
National Provider Identifier
1457084097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVID AT HOME LLC
- Practice address
- 810 Cardinal LN Ste 230
Hartland, WI 53029-2390 - Phone
- (262) 337-4796
- NPI assigned
- Jul 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer McLeod
- Title
- Owner/Vice President
- Phone
- (262) 337-4796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
810 Cardinal LN Ste 230
Hartland, WI 53029-2390
Mailing address
810 Cardinal LN Ste 230
Hartland, WI 53029-2390
Phone (262) 337-4796
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2285853 | Avid at Home LLC | Certificate of waiver | Jul 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hartland, WI
- NPI 1538714324
-
- Physical Therapist
- Waukesha, WI
- NPI 1811276660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656633600000",
"number": "1457084097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 CARDINAL LN STE 230",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530292390",
"telephone_number": "262-337-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 CARDINAL LN STE 230",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530292390",
"telephone_number": "262-337-4796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVID AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A",
"authorized_official_last_name": "MCLEOD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
"authorized_official_telephone_number": "262-337-4796"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.