Active NPI
Acumen of Wisconsin, LLC
- In Home Supportive Care Agency
- Osceola, WI
National Provider Identifier
1467860114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2023
- 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
- Tara Katalinic
- Title
- Compliance Analyst
- Phone
- (480) 295-3328
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467860114 | Medicaid | WI |
Other names 1
- Outreach Health Services of Wisconsin, LLC
National Provider Directory
National Provider DirectoryLocations
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.