NPIMap

Organization Active NPI

Transitions at Home, Inc.

  • Home Health Agency
  • Elkhorn, WI
National Provider Identifier
1487651212
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1195 Issued in WI
Legal business name
TRANSITIONS AT HOME, INC.
Practice address
N6359 US Highway 12
Elkhorn, WI 53121-3955
Phone
(262) 723-2700
Fax
(262) 723-2704
NPI assigned
Jul 7, 2005
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Stephanie Sherman
Title
Chief Operating Officer
Phone
(303) 980-0611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1195 WI Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

N6359 US Highway 12
Elkhorn, WI 53121-3955

Mailing address

640 N Broad St
Elkhorn, WI 53121-1104
Phone (262) 723-2700

Other identifiers 2

IdentifierTypeStateIssuer
1487651212OtherWINPI
1195OtherWIWISCONSIN STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160307001686 WI Part A Provider - Home Health Agency 1951403260 Practice locations: Elkhorn, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487651212. Details of each certification follow.

Home health agency certification: CCN 527325

Legal name
TRANSITIONS AT HOME, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 29, 2016
Last certification
Aug 21, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 3, 2006 in WI
Enrollment address
N6359 US Highway 12
Elkhorn, WI 53121-3955
HHA Branch

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Transitions Home HealthCCN 527325 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Sep 29, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Edgerton Hospital Health S13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

640 N Broad St
Elkhorn, WI 53121
Phone (262) 723-2700

N6359 US Highway 12
Elkhorn, WI 53121
Phone (262) 578-5116

819 Ash St
Ste 11031105
Spooner, WI 54801

4949 Kirschling Ct
Stevens Point, WI 54481
Phone (715) 544-2322

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrew C. Kerwin Individual Corporate DirectorChair of the Board Jun 26, 2009
Lori Dupont Individual Corporate DirectorTreasurer Jan 1, 2016
Robert V. Siebel Individual Operational/Managerial ControlManagement Company President Nov 22, 2011 100%
Carriage Healthcare Companies Inc Organization, Lakewood, CO Corporation, Management services company, For-profit Operational/Managerial Control Oct 6, 2006 100%
Wisconsin Illinois Senior Housing Inc Organization, Lakewood, CO Non-profit 5% Or Greater Direct Ownership Interest Nov 22, 2011 100%
Miriam Gehler Individual Corporate DirectorSecretary Mar 14, 2011
Stephanie L Sherman Individual Corporate OfficerChief Operating Officer May 11, 2020
Karen M Lacke (Carrig) Individual Corporate DirectorBoard Member Jan 1, 2016
Nicholas Lynn Individual Corporate DirectorBoard Member Mar 14, 2011
Rajeev Shiva Kumar Individual Corporate DirectorBoard Member Apr 24, 2012
Dana Burke Individual W-2 Managing EmployeeAdministrative Services May 11, 2020

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1487651212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N BROAD ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211104",
            "telephone_number": "262-723-2700",
            "fax_number": "262-723-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6359 US HIGHWAY 12",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531213955",
            "telephone_number": "262-723-2700",
            "fax_number": "262-723-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS AT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "303-980-0611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "1195",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487651212",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN STATE LICENSE",
            "identifier": "1195",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.