NPIMap

Organization Active NPI

Prominent Home Care, Inc

  • In Home Supportive Care Agency
  • Wauwatosa, WI
National Provider Identifier
1487048179
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROMINENT HOME CARE, INC
Doing business as
Homewatch CareGivers
Practice address
2457 N Mayfair Rd
202
Wauwatosa, WI 53226-1405
Phone
(414) 988-9138
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Ms. Suzanne Marie Navin
Title
President
Phone
(414) 988-9138

Specialties & licenses 1

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

Addresses

Primary practice location

2457 N Mayfair Rd
202
Wauwatosa, WI 53226-1405

Mailing address

2457 N Mayfair Rd
202
Wauwatosa, WI 53226-1405
Phone (414) 988-9138

Other names 1

  • Homewatch CareGivers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Homewatch Caregivers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2457 N Mayfair Rd
Ste 202
Wauwatosa, WI 53226
Phone (414) 763-5154

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1487048179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 N MAYFAIR RD",
            "address_2": "202",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261405",
            "telephone_number": "414-988-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 N MAYFAIR RD",
            "address_2": "202",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261405",
            "telephone_number": "414-988-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "NAVIN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-988-9138",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.