Organization Active NPI

Acumen of Wisconsin, LLC

  • In Home Supportive Care Agency
  • Osceola, WI
National Provider Identifier
1467860114
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ACUMEN OF WISCONSIN, LLC
Practice address
204 3Rd Avenue
Suite 110
Osceola, WI 54020
Phone
(877) 901-5826
Fax
(800) 687-3121
NPI assigned
Jul 25, 2014
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Tara Katalinic
Title
Compliance Analyst
Phone
(480) 295-3328

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X WI Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

204 3Rd Avenue
Suite 110
Osceola, WI 54020

Mailing address

5416 E Baseline Rd Ste 200
Mesa, AZ 85206-4704

Other identifiers 1

IdentifierTypeStateIssuer
1467860114MedicaidWI

Other names 1

  • Outreach Health Services of Wisconsin, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

204 3rd Ave
Ste 110
Osceola, WI 54020
Phone (877) 901-5826

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1467860114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 E BASELINE RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 3RD AVENUE",
            "address_2": "SUITE 110",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "877-901-5826",
            "fax_number": "800-687-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUMEN OF WISCONSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "KATALINIC",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "COMPLIANCE ANALYST",
        "authorized_official_telephone_number": "480-295-3328"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467860114",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Health Services of Wisconsin, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Osceola, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.