Organization Active NPI

MQH Home Health Care LLC

  • Home Health Agency
  • Glendale, WI
National Provider Identifier
1467955633
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MQH HOME HEALTH CARE LLC
Practice address
6577 N Braeburn LN
Glendale, WI 53209-3323
Phone
(414) 206-4365
Fax
(414) 206-0871
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Ms. Geraldine Marie Rodgers
Title
Owner
Phone
(414) 206-4365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X WI Primary

Addresses

Primary practice location

6577 N Braeburn LN
Glendale, WI 53209-3323

Mailing address

6577 N Braeburn LN
Glendale, WI 53209-3323
Phone (414) 206-4365

Other identifiers 1

IdentifierTypeStateIssuer
100069346MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1467955633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6577 N BRAEBURN LN",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093323",
            "telephone_number": "414-206-4365",
            "fax_number": "414-206-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6577 N BRAEBURN LN",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093323",
            "telephone_number": "414-206-4365",
            "fax_number": "414-206-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MQH HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-206-4365",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069346",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.