Wisconsin Support Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WISCONSIN SUPPORT SERVICES LLC

Practice address

6407 Alison LN
Madison, WI 53711-2404

Phone

(608) 867-3160

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Devon D Nelson

Title

Owner

Phone

(608) 867-3160

Specialties & licenses 2

Addresses

Other names 1

• Wisconsin Support Services LLC Former legal business name

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1487432464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 ALISON LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112404",
            "telephone_number": "608-867-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 ALISON LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112404",
            "telephone_number": "608-867-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-867-3160"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisconsin Support Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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